division of career & technical education program: 1450 n.e...

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Division of Career & Technical Education 1450 N.E. Second Avenue Miami, Florida 33132 JOB TRAINING ATTENDANCE RECORD Date From To HOUR TOTAL TOTAL TOTAL TOTAL No. of Hours Worked Gross Earnings Date From To HOUR TOTAL TOTAL TOTAL TOTAL No. of Hours Worked Gross Earnings TOTAL FM-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 Rate Days Absent from Job Assigned Hours: From Training Agency: I.D. # Age To Beginning Date Grade Ending Date Student's Name:

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Page 1: Division of Career & Technical Education Program: 1450 N.E ...markndiv.dadeschools.net/Forms/CoopForms/5248 - Job Training Re… · Division of Career & Technical Education 1450 N.E

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:

Page 2: Division of Career & Technical Education Program: 1450 N.E ...markndiv.dadeschools.net/Forms/CoopForms/5248 - Job Training Re… · Division of Career & Technical Education 1450 N.E

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