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Shippensburg Area
Substitute Nurses Time Sheet
6/17/2019

Submit this form to the Principal of the building worked at by 8:00 a.m. each Friday morning.

 

Name:
School Nurse substituting for: *
Building:
Complete 1 form for each building you work in for the week.

 

This form is only to be completed if substituting for a district certified school nurse, which would include positions at our Senior High, Middle School, James Burd Elementary and Nancy Grayson Elementary. 

 (Do not complete for LPN or Heath Roomm Assistant.)

 

.

Date

Day Worked - enter as .5 or 1

Monday



Tuesday



Wednesday



Thursday



Friday



*** Below fields will be completed by payroll ****

Pay Date:
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