(SAMPLE) WORK-BASED LEARNING WEEKLY WAGE AND HOUR REPORT Student____________________ Job Title____________________Training Station_____________________Supervisor_____________________ Month_____________ Year_______ Month_______________ Year______ Supervisor’s Initials Supervisor’s Initials Total Total Total Total Number of Hours Worked Number of Hours Worked Rate of Rate of Hours Gross Hours Gross Pay Pay Week Sun Mon Tues Wed Thurs Fri Sat Week Sun Mon Tues Wed Thurs Fri Sat Worked Wages Worked Wages 1 1 2 2 3 3 4 4 5 5 Total Total Month_______________ Year______ Month_____________ Year_______ Supervisor’s Initials Supervisor’s Initials Total Total Total Total Number of Hours Worked Number of Hours Worked Rate of Rate of Hours Gross Hours Gross Pay Pay Week Sun Mon Tues Wed Thurs Fri Sat Week Sun Mon Tues Wed Thurs Fri Sat Worked Wages Worked Wages 1 1 2 2 3 3 4 4 5 5 Total Total
(SAMPLE) WORK-BASED LEARNING WEEKLY WAGE AND HOUR REPORT Student____________________ Job Title____________________Training Station_____________________Supervisor_____________________ Month_______________ Year______ Supervisor’s Initials Month_____________ Year_______ Supervisor’s Initials Number of Hours Worked Total Hours Worked Rate of Pay Total Gross Wages Number of Hours Worked Total Hours Worked Rate of Pay Total Gross Wages Week Sun Mon Tues Wed Thurs Fri Sat Week Sun Mon Tues Wed Thurs Fri Sat 1 1 2 2 3 3 4 4 5 5 Total Total Month_______________ Year______ Supervisor’s Initials Month_____________ Year_______ Supervisor’s Initials Number of Hours Worked Total Hours Worked Rate of Pay Total Gross Wages Number of Hours Worked Total Hours Worked Rate of Pay Total Gross Wages Week Sun Mon Tues Wed Thurs Fri Sat Week Sun Mon Tues Wed Thurs Fri Sat 1 1 2 2 3 3 4 4 5 5 Total Total
W-B-L%20MANUAL.docx