Community Mentor Payroll Submission Form


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Center for Civic Engagement and Leadership

Community Mentor Payroll Submission Form

Directions: Complete this form in its entirety and submit by the payroll submission deadlines listed below. If you have no hours for the payroll period, please complete the name and email field and check the "NO HOURS" box then submit.

*Period Start Date*	*Period End Date*	*Submit Hours Online*	*Pay Date*
8/24/09	9/6/09	Friday, 9/4/09	9/11/09
9/7/09	9/20/09	Friday, 9/18/09	9/25/09
9/21/09	10/04/09	Friday, 10/2/09	10/9/09
10/05/09	10/18/09	Friday, 10/16/09	10/23/09
10/19/09	11/1/09	Friday, 10/30/09	11/06/09
11/02/09	11/15/09	Friday, 11/13/09	11/20/09
11/16/09	11/29/09	Friday, 11/27/09	12/4/09
11/30/09	12/13/09	Friday, 12/11/09	12/18/09

1/18/10	1/31/10	Friday, 1/29/10	2/5/10
2/1/10	2/14/10	Friday, 2/12/10	2/19/10
2/15/10	2/28/10	Friday, 2/26/10	3/5/10
3/1/10	3/14/10	Friday, 3/12/10	3/19/10
3/15/10	3/28/10	Friday, 3/26/10	4/2/10
3/29/10	4/11/10	Friday, 4/9/10	4/16/10
4/12/10	4/25/10	Friday, 4/23/10	4/30/10
4/26/10	5/9/10	Friday, 5/7/10	5/14/10
5/10/10	5/23/10	Friday, 5/21/10	5/28/10

Personal Information:

Name:

E-mail:

Hours:

NO PAYROLL HOURS
NO VOLUNTEER HOURS

WEEK 1
MON	TUES	WEDS	THURS	FRI	SAT	SUN
DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:
Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:
Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:
Description:	Description:	Description:	Description:	Description:	Description:	Description:
WEEK 2
MON	TUES	WEDS	THURS	FRI	SAT	SUN
DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:
Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:	Payroll Hours:
Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:	Volunteer Hours:
Description:	Description:	Description:	Description:	Description:	Description:	Description:
Additional Comments: