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Home
About
Programs & Services
Programs
Community Violence Intervention Program
Mind Your Mental
Promoting Employment Opportunities for Survivors of Trafficking (PEOST) Initiative
SMART (Support, Mindset, Attitude, Respect, and Teamwork)
Services
Youth Services
Family Services
Community Violence Intervention Services
Training and Education
Forms
2026 Placement Site Application
Liability Consent Forms (Printable PDF)
Mindset Kidz’s Program Timesheet
Travel Consent Form
Gallery
Shop
Shop
Cart
My Account
Support
Contact
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TIMESHEET
2026 Cohort 8 LEAD Timesheet
Please enable JavaScript in your browser to complete this form.
Participant's Name
*
First
Last
Participant’s Phone Number
*
Participant’s Email Address
*
Placement Site
*
Mentor's Name
*
First
Last
Select work week for hours being recorded. Each work week will require a seperate form to be completed.
*
JUNE 21ST - JUNE 27TH
JUNE 28TH - JULY 4TH
JULY 5TH - JULY 11TH
JULY 12TH - JULY 18TH
JULY 19TH - JULY 25TH
JULY 26TH - AUGUST 1ST
Enter your hours worked each day during this work week.
If you did not work any hours on a specific day please put "0" (zero),
Sunday
*
Monday
*
Tuesday
*
Wednesday
*
Thursday
*
Friday
*
Saturday
*
TOTAL HOURS WORKED THIS WEEK
*
Participant’s Signature
*
Clear Signature
Mentor’s Signature
*
Clear Signature
Today's Date
*
Additional Comments
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