Work Order Form
Please fill out the form for each day you have worked.
Date Submitted
*
/
Month
/
Day
Year
Name
*
First
Last
Email
*
example@example.com
Location
*
(use if you work only at one location)
Pay Period
*
Please Select
1/1 - 1/15
1/16 - 1/31
2/1 - 2/15
2/16 - 2/28
3/1 - 3/15
3/16 - 31
4/1 - 4/15
4/16 - 4/30
5/1 - 5/15
5/16 - 5/31
6/1 - 6/15
6/16 - 6/30
7/1 - 7/15
7/16 - 7/31
8/1 - 8/15
8/16 - 8/31
9/1 - 9/15
9/16 - 9/30
10/1 - 10/15
10/16 - 10/31
11/1 - 11/15
11/16 - 11/30
12/1 - 12/15
12/16 - 12/31
Work Order Details
Date
Location
# of Classes
(Residency)
Name of Classes
# of Hours
(Afterschool or Studio)
1
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
2
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
3
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
4
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
5
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
6
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
7
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
8
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
9
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
10
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
11
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
12
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
13
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
14
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
15
Studio
BGLIG
PS41
BG After School
Belmont HS
Home
ILCHS
PS70
NRHS
Boys & Girls
Total Classes
Total Hours (Afterschool or Studio)
Total Hours
Lessons Plans/Notes
*
Signature
*
Save
Submit
Should be Empty: