division of career & technical education program: 1450 n.e...
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Division of Career & Technical Education1450 N.E. Second Avenue Miami, Florida 33132
JOB TRAINING ATTENDANCE RECORD
Date From ToHOUR
TOTAL
TOTAL
TOTAL
TOTAL
No. of HoursWorked
GrossEarnings
Date From ToHOUR
TOTAL
TOTAL
TOTAL
TOTAL
No. of HoursWorked
GrossEarnings
TOTALFM-5248 Rev. (02-09) (This timecard must be on file to receive credit) FM-5248 Rev. (02-09)
(TO BE COMPLETED EVERY GRADING PERIOD)
Program:
School:
Social Security # Wage RateDays Absent from Job Assigned Hours: From
Training Agency:
I.D. #AgeTo
Beginning Date GradeEnding Date
Student's Name:
TOTAL
TOTAL
TOTAL
TOTAL
FM-5248 Rev. (02-09)
Signature of Cooperative Education
Signature of
Date From ToHOUR
TOTAL
No. of HoursWorked
GrossEarnings
Comments
Signature of Student
FM-5248 Rev. (02-09)
=Total Hrs. and Wages Year To Date
Total Hrs. and Wages of Current Period +Total Hrs. and Wages of Previous Periods
HoursHoursHours
$$
$
(This timecard must be on file to receive credit)
Print Name of
Date From ToHOUR
TOTAL
No. of HoursWorked
GrossEarnings
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