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OFFICE FOR STUDENT ASSISTANCE AND SCHOLARSHIPS

Ozanam Study Grant Program

WEEKLY ATTENDANCE SHEET


Dates Covered from (mm/dd/yyyy) __________ to (mm/dd/yyyy) __________
Name Date (mm/dd/yy) Student No. Day Monday Course Year Level Office/Department Assigned Tuesday Wednesday Thursday Friday Direct Supervisor Saturday Sunday Eligibility for Benefits NCNS/Absence Declaration I hereby certify that the foregoing is an accurate record of my logs in & out from my duty inclusive of the dates enumerated. Student Assistant (signature over printed name) Reason Verified Direct Supervisor/Head of Office SUMMARY TOTAL Approved Director, OSAS In Out In Out In Out Late(s) Total No. of Hrs

(signature over printed name)

(signature over printed name)

Article 4, Section 4.11. Honesty

An SA is expected to be honest at all times in the performance of ones tasks. The SAs honesty in the workplace is held with high regard and serious breach of honesty such as, but not limited to tampering of receipts, falsification of grades or signatures, and accepting bribes warrants disciplinary action or immediate dismissal from the Grant. Article 5, Section 3.1. Prohibited Acts [Any Student Assistant who commits any of the following acts of misconduct shall be subject to disciplinary action or termination.] Counterfeiting, Altering or Financial Irresponsibility. Any forgery, alteration of, or unauthorized use of forms, records, documents or ID cards, including the giving of false information or withholding necessary information in connection with a student's admission, enrollment or status at the university.

F-OSAS-104 (04-16-12)
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OFFICE FOR STUDENT ASSISTANCE AND SCHOLARSHIPS


Ozanam Study Grant Program

WEEKLY ATTENDANCE SHEET


Dates Covered from (mm/dd/yyyy) __________ to (mm/dd/yyyy) __________
Name Date (mm/dd/yy) Student No. Day Monday Course Year Level Office/Department Assigned Tuesday Wednesday Thursday Friday Direct Supervisor Saturday Sunday Eligibility for Benefits NCNS/Absence Declaration I hereby certify that the foregoing is an accurate record of my logs in & out from my duty inclusive of the dates enumerated. Student Assistant (signature over printed name) Reason Verified Direct Supervisor/Head of Office SUMMARY TOTAL Approved Director, OSAS In Out In Out In Out Late(s) Total No. of Hrs

(signature over printed name)

(signature over printed name)

Article 4, Section 4.11. Honesty

An SA is expected to be honest at all times in the performance of ones tasks. The SAs honesty in the workplace is held with high regard and serious breach of honesty such as, but not limited to tampering of receipts, falsification of grades or signatures, and accepting bribes warrants disciplinary action or immediate dismissal from the Grant. Article 5, Section 3.1. Prohibited Acts [Any Student Assistant who commits any of the following acts of misconduct shall be subject to disciplinary action or termination.] Counterfeiting, Altering or Financial Irresponsibility. Any forgery, alteration of, or unauthorized use of forms, records, documents or ID cards, including the giving of false information or withholding necessary information in connection with a student's admission, enrollment or status at the university.

F-OSAS-104 (04-16-12)

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