Tutor Timesheet - North Colonie Central Schools
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1NORTH COLONIE CENTRAL SCHOOLS
91 Fiddlers Lane
Latham, NY 12110
Timesheet for Tutoring
Tutor’s Name: __________________________________________
Reason for Tutoring (check one): ____disabling condition ____home instruction
____alternative education
____after school tutoring for:_________________________________
(state purpose)
I hereby certify that the below times and hours are correct:
DATE
TIME
TIME
# OF
ACTIVITY
STUDENT’S NAME
STUDENTS
SUPERVISOR’ S
IN
OUT
HOURS
BUILDING/
APPROVAL IF
GRADE
REQUIRED (*)
Notes: List only actual hours worked providing instruction. Travel time is not reimbursable. Lunch time is not reimbursable
unless a teacher/administrator requests you to work through your lunch to provide supervision. Approval to be paid to work
through your lunch period must be documented by the approving teacher/administrator signing above (*).
Your schedule for tutoring is at the discretion of the Building Principal (for Elementary and Junior High General Education), Mr.
Verdile (for Shaker High School General Education), and Mr. Semo (for all Special Education).
Total number of hours________ at $_________, for a total of $__________
____________________________
________________
___________________
Tutor’s Signature
Date
Telephone Number
___________________________________
____________________
Supervisor’s Signature
Date
Return completed original form to:
For Elementary, JHS and SHS General Education (in school):
Building Principal
For Shaker High School – HUB (long-term)
Mr. Verdile
For all Special Education:
Mr. Semo
Revised 02/11/16
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