SALD

Student Worker/ Intern Payroll Form

First Name	Last Name
Wes ID	Wes Box
Phone Number	Email @ wesleyan.edu
HOURS WORKED PLEASE RECORD HOURS WORKED TO THE NEAREST QUARTER HOUR (E.G. 1.25, 3.50, 2.0, ETC)
Work Week Ending (Use the Sunday payroll date) (mm/dd/yyyy)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Total Hours Worked

By submitting this form, I verify that all information is correct.