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Use this form for your monthly hours for tutorials. This is the only means that tutorial time will be accepted.
Teacher's Name
Semester
Six Weeks
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Week of:
You may enter multiple days for each week.
For example 2/3, 2/4, 2/5.
Separate each day with a comma.
Number of Hours per Week
Student Names that Were Tutored
Enter one name per line. Enter the name of each student tutored for this pay period.
Total Number of Hours for This Pay Period
Enter the total number of tutorial hours shown on this form for this pay period.

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