Lincolnton High School
****-
Year: Name : Justin Smith Community Based
2015
Art on Brian Clark Pizza
Kiser EC
Christian
Business Lincolnton
Total Main Center Tire Other Hut RHUMC Subway
Clipper Den Res. Ctr.
Ministries
Excursion Car Care Walgreens
Total hrs. for: Aug. 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Total hrs. for: Sept 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Total hrs. for: Oct. 32:00:00 0:00:00 22:00:00 0:00:00 0:00:00 0:00:00 0:00:00 4:00:00 0:00:00 0:00:00 0:00:00 4:00:00 0:00:00 2:00:00
Total hrs. for: Nov. 34:00:00 0:00:00 14:00:00 6:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 2:00:00 0:00:00 4:00:00 6:00:00 2:00:00
Total hrs. for: Dec. 31:00:00 0:00:00 16:00:00 0:00:00 0:00:00 0:00:00 0:00:00 2:00:00 0:00:00 7:00:00 0:00:00 4:00:00 0:00:00 2:00:00
Total hrs. for: Jan. 22:00:00 0:00:00 12:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 6:00:00 0:00:00 0:00:00 0:00:00 4:00:00
Total hrs. for: Feb. 22:00:00 0:00:00 12:00:00 0:00:00 0:00:00 0:00:00 4:00:00 0:00:00 0:00:00 0:00:00 0:00:00 4:00:00 0:00:00 2:00:00
Total hrs. for: March 41:00:00 0:00:00 28:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 9:00:00 0:00:00 4:00:00 0:00:00 0:00:00
Total hrs. for: April 4:00:00 0:00:00 0:00:00 0:00:00 0:00:00 2:00:00 2:00:00 0:00:00 0:00:00 2:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Total hrs. for: May 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Lincolnton High School
Total hrs. year to date: 186:00:00 0:00:00 104:00:00 6:00:00 0:00:00 2:00:00 6:00:00 6:00:00 0:00:00 26:00:00 0:00:00 20:00:00 6:00:00 12:00:00
Lincolnton High School
Animal
Shelter
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
0:00:00 0:00:00 0:00:00
Lincolnton High School
0:00:00 0:00:00 0:00:00
Lincolnton High School
Year: 2014 August Name:
Date Time in Time out Location
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs.
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
Total minutes worked Art on Main
0:00:00 Brian Center
0:00:00 Business Excursion
0:00:00 Christian Ministries
0:00:00 Clark Tire
0:00:00 Integrity Computers
0:00:00 Kiser EC Res. Ctr.
0:00:00 Lincolnton Car Care
0:00:00 Other
0:00:00 Pizza Hut
0:00:00 RHUMC
0:00:00 Subway
0:00:00 Walgreens
0:00:00 Animal Shelter
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Other Pizza Hut RHUMC Subway
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 0:00:00 0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2014 September Name:
Date Time in Time out Location
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs.
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
Total minutes worked Art on Main
0:00:00 Brian Center
0:00:00 Business Excursion
0:00:00 Christian Ministries
0:00:00 Clark Tire
0:00:00 Integrity Computers
0:00:00 Kiser EC Res. Ctr.
0:00:00 Lincolnton Car Care
0:00:00 Other
0:00:00 Pizza Hut
0:00:00 RHUMC
0:00:00 Subway
0:00:00 Walgreens
0:00:00 Animal Shelter
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 0:00:00 0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2014 October Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
10/6/2014 11:30 AM 1:30 PM Brian Center
10/7/2014 11:30 AM 1:30 PM Brian Center
10/8/2014 11:30 AM 1:30 PM RHUMC
10/9/2014 11:30 AM 1:30 PM Brian Center
10/10/2014 11:30 AM 1:30 PM Walgreens
10/13/2014 11:30 AM 1:30 PM Brian Center
10/14/2014 11:30 AM 1:30 PM Brian Center
10/15/2014 11:30 AM 1:30 PM Kiser EC Res. Ctr.
10/17/2014 11:30 AM 1:30 PM Brian Center
10/20/2014 11:30 AM 1:30 PM Brian Center
10/21/2014 11:30 AM 1:30 PM Brian Center
10/22/2014 11:30 AM 1:30 PM RHUMC
10/23/2014 11:30 AM 1:30 PM Brian Center
10/24/2014 11:30 AM 1:30 PM Brian Center
10/29/2014 11:30 AM 1:30 PM Kiser EC Res. Ctr.
10/30/2014 11:30 AM 1:30 PM Brian Center
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 16 Days
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Integrity Computers
0:00:00 Kiser EC Res. Ctr.
0:00:00 Lincolnton Car Care
2:00:00 Other
2:00:00 Pizza Hut
2:00:00 RHUMC
0:00:00 Subway
2:00:00 Walgreens
0:00:00 Animal Shelter
0:00:00
2:00:00
2:00:00
2:00:00
2:00:00
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
2:00:00
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 22:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 4:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 0:00:00 0:00:00 4:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 2:00:00 0:00:00
32:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2014 November Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
11/3/2014 11:30 AM 1:30 PM Walgreens
11/4/2014 11:30 AM 1:30 PM Brian Center
11/5/2014 11:30 AM 1:30 PM RHUMC
11/6/2014 11:30 AM 1:30 PM Brian Center
11/7/2014 11:30 AM 1:30 PM Brian Center
11/10/2014 11:30 AM 1:30 PM Brian Center
11/12/2014 11:30 AM 1:30 PM RHUMC
11/13/2014 11:30 AM 1:30 PM Subway
11/14/2014 8:30 AM 2:30 PM Business Excursion
11/17/2014 11:30 AM 1:30 PM Subway
11/18/2014 11:30 AM 1:30 PM Brian Center
11/19/2014 11:30 AM 1:30 PM Other
11/20/2014 11:30 AM 1:30 PM Brian Center
11/21/2014 11:30 AM 1:30 PM Brian Center
11/25/2014 11:30 AM 1:30 PM Subway
Student's Social Security #:
Student's Signature: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 15 Days
Student's Social Security #:
Student's Signature: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Integrity Computers
2:00:00 Kiser EC Res. Ctr.
2:00:00 Lincolnton Car Care
2:00:00 Other
6:00:00 Pizza Hut
2:00:00 RHUMC
2:00:00 Subway
2:00:00 Walgreens
2:00:00 Animal Shelter
2:00:00
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Social Security #:
Student's Signature: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 14:00:00 6:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 2:00:00 0:00:00 4:00:00 6:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 2:00:00 0:00:00
34:00:00
Student's Social Security #:
Student's Signature: Supervisor's Signature:
Lincolnton High School
Year: 2014 December Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
12/1/2014 11:30 AM 1:30 PM Brian Center
12/2/2014 11:30 AM 1:30 PM Brian Center
12/3/2014 11:30 AM 1:30 PM Kiser EC Res. Ctr.
12/4/2014 11:30 AM 1:30 PM Brian Center
12/8/2014 11:30 AM 1:30 PM Brian Center
12/9/2014 11:30 AM 1:30 PM Walgreens
12/10/2014 11:30 AM 1:30 PM RHUMC
12/11/2014 11:30 AM 1:30 PM Brian Center
12/12/2014 11:30 AM 1:30 PM Brian Center
12/15/2014 11:30 AM 1:30 PM Brian Center
12/16/2014 11:30 AM 1:30 PM RHUMC
12/17/2014 11:30 AM 1:30 PM Brian Center
12/18/2014 8:30 AM 1:30 PM Other
12/19/2014 11:30 AM 1:30 PM Other
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 14 Days
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Integrity Computers
2:00:00 Kiser EC Res. Ctr.
2:00:00 Lincolnton Car Care
2:00:00 Other
2:00:00 Pizza Hut
2:00:00 RHUMC
2:00:00 Subway
2:00:00 Walgreens
5:00:00 Animal Shelter
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 16:00:00 0:00:00 0:00:00
Integrity Kiser EC Res. Lincolnton
0:00:00 Clark Tire Computers Ctr. Car Care
0:00:00 0:00:00 0:00:00 2:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 7:00:00 0:00:00 4:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 2:00:00 0:00:00
31:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2015 January Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
1/5/2015 11:30 AM 1:30 PM Brian Center
1/6/2015 11:30 AM 1:30 PM Brian Center
1/7/2015 11:30 AM 1:30 PM Other
1/8/2015 11:30 AM 1:30 PM Other
1/9/2015 11:30 AM 1:30 PM Brian Center
1/22/2015 11:30 AM 1:30 PM Brian Center
1/23/2015 11:30 AM 1:30 PM Brian Center
1/26/2015 11:30 AM 1:30 PM Walgreens
1/27/2015 11:30 AM 1:30 PM Walgreens
1/29/2015 11:30 AM 1:30 PM Brian Center
1/30/2015 11:30 AM 1:30 PM Other
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 11 Days
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Integrity Computers
0:00:00 Kiser EC Res. Ctr.
0:00:00 Lincolnton Car Care
0:00:00 Other
0:00:00 Pizza Hut
0:00:00 RHUMC
2:00:00 Subway
2:00:00 Walgreens
2:00:00 Animal Shelter
2:00:00
0:00:00
2:00:00
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 12:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 6:00:00 0:00:00 0:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 4:00:00 0:00:00
22:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2015 February Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
2/2/2015 11:30 AM 1:30 PM Brian Center
2/3/2015 11:30 AM 1:30 PM Brian Center
2/4/2015 11:30 AM 1:30 PM RHUMC
2/5/2015 11:30 AM 1:30 PM Clipper Den
2/6/2015 11:30 AM 1:30 PM Brian Center
2/9/2015 11:30 AM 1:30 PM Brian Center
2/10/2015 11:30 AM 1:30 PM Walgreens
2/12/2015 11:30 AM 1:30 PM Clipper Den
2/23/2015 11:30 AM 1:30 PM Brian Center
2/25/2015 11:30 AM 1:30 PM RHUMC
2/27/2015 11:30 AM 1:30 PM Brian Center
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 11 Days
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Clipper Den
2:00:00 Kiser EC Res. Ctr.
2:00:00 Lincolnton Car Care
0:00:00 Other
2:00:00 Pizza Hut
0:00:00 RHUMC
2:00:00 Subway
2:00:00 Walgreens
2:00:00 Animal Shelter
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 12:00:00 0:00:00 0:00:00
Kiser EC Lincolnton
0:00:00 Clark Tire Clipper Den Res. Ctr. Car Care
0:00:00 0:00:00 4:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 0:00:00 0:00:00 4:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 2:00:00 0:00:00
22:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2015 March Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
3/3/2015 11:30 AM 1:30 PM Brian Center
3/4/2015 11:30 AM 1:30 PM Other
3/6/2015 11:30 AM 1:30 PM Brian Center
3/9/2015 11:30 AM 1:30 PM Brian Center
3/10/2015 11:30 AM 1:30 PM Brian Center
3/11/2015 11:30 AM 1:30 PM RHUMC
3/12/2015 11:30 AM 1:30 PM Brian Center
3/13/2015 11:30 AM 1:30 PM Brian Center
3/16/2015 11:30 AM 1:30 PM Brian Center
3/17/2015 11:30 AM 1:30 PM Brian Center
3/18/2015 11:30 AM 1:30 PM Other
3/19/2015 11:30 AM 1:30 PM Brian Center
3/20/2015 11:30 AM 1:30 PM Brian Center
3/23/2015 11:30 AM 1:30 PM Brian Center
3/24/2015 11:30 AM 1:30 PM RHUMC
3/25/2015 11:30 AM 1:30 PM Brian Center
3/26/2015 8:30 AM 1:30 PM Other
3/27/2015 11:30 AM 1:30 PM Brian Center
3/31/2015 11:30 AM 1:30 PM Brian Center
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs. 19 Days
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
mvjnsuifdgiuhjwknjije Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
2:00:00 Christian Ministries
2:00:00 Clark Tire
2:00:00 Integrity Computers
2:00:00 Kiser EC Res. Ctr.
2:00:00 Lincolnton Car Care
2:00:00 Other
0:00:00 Pizza Hut
0:00:00 RHUMC
0:00:00 Subway
0:00:00 Walgreens
2:00:00 Animal Shelter
2:00:00
2:00:00
2:00:00
2:00:00
2:00:00
2:00:00
2:00:00
5:00:00
2:00:00
0:00:00
2:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 28:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 9:00:00 0:00:00 4:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 0:00:00 0:00:00
41:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2015 April Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location
4/1/2015 11:30 AM 1:30 PM Other
4/2/2015 11:30 AM 1:30 PM Clipper Den
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Total days & hrs.
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
h Street, Lincolnton, NC 28092
Total minutes worked Art on Main
2:00:00 Brian Center
2:00:00 Business Excursion
0:00:00 Christian Ministries
0:00:00 Clipper Den
0:00:00 Integrity Computers
0:00:00 Kiser EC Res. Ctr.
0:00:00 Lincolnton Car Care
0:00:00 Other
0:00:00 Pizza Hut
0:00:00 RHUMC
0:00:00 Subway
0:00:00 Walgreens
0:00:00 Animal Shelter
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Business Christian
0:00:00 Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 0:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
0:00:00 Clipper Den Computers Res. Ctr. Car Care
0:00:00 2:00:00 0:00:00 0:00:00 0:00:00
0:00:00 Pizza Hut RHUMC Subway
Other
0:00:00 2:00:00 0:00:00 0:00:00 0:00:00
Animal
0:00:00 Walgreens Shelter
0:00:00 0:00:00 0:00:00
4:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Year: 2015 May Name: Justin Smith
206 Lynch Street, Lincolnton, NC 28092
Date Time in Time out Location Total minutes worked
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
0:00:00
Total days & hrs. 0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Community Based
Art on Main
Brian Center
Business Excursion
Christian Ministries
Clark Tire
Integrity Computers
Kiser EC Res. Ctr.
Lincolnton Car Care
Other
Pizza Hut
RHUMC
Subway
Walgreens
Animal Shelter
Student's Signature: Student's Social Security #: Supervisor's Signature:
Lincolnton High School
Business Christian
Art on Main Brian Center Excursion Ministries
0:00:00 0:00:00 0:00:00 0:00:00
Integrity Kiser EC Lincolnton
Clark Tire Computers Res. Ctr. Car Care
0:00:00 0:00:00 0:00:00 0:00:00
Pizza Hut RHUMC Subway
Other
0:00:00 0:00:00 0:00:00 0:00:00
Animal
Walgreens Shelter
0:00:00 0:00:00
Student's Signature: Student's Social Security #: Supervisor's Signature: