PERSONNEL ACTIVITY REPORT for the period

Please review the following employee effort data for accuracy. The estimated % of total effort should accurately reflect your workload for the above indicated period. If the effort for Federally sponsored projects is inaccurate by more than 5%, please indicate the correct % of effort in the actual column. Certifications must be signed and returned to Jeff Selner, Business & Finance, within 30 days.

Name: Title:

Dept.: UDDS Code:

Estimated %age Actual %age Activities of Total Effort of Total Effort Federally Sponsored Projects 1. 2. 3.

Cost Sharing (By Project) 1. 2.

Other Institutional Activities 1. 2. 3. 100% 100%

I certify that the above distribution of effort represents a reasonable estimate of all work performed by me during the indicated period.

Employee Signature Date

I certify that I have first-hand knowledge of all work performed by the above employee and that the above distribution of effort represents a reasonable estimate of work performed for the period indicated.

Supervisory Official Signature Date

Title 5 四月 2018PERSONNEL ACTIVITY REPORT for the period January 2002

Please review the following employee effort data for accuracy. The estimated % of total effort should accurately reflect your workload for the above indicated period. If the effort for Federally sponsored projects is inaccurate by more than 5%, please indicate the correct % of effort in the actual column. Certifications must be signed and returned to Jeff Selner, Business & Finance, within 30 days.

Name: Newman, Alfred E. Title: Adjunct Instructor

Dept.: Natural and Applied Science UDDS Code: D-26-3000

Estimated %age Actual %age Activities of Total Effort of Total Effort Federally Sponsored Projects 1. 144-BS33 60% 2. 3.

Cost Sharing (By Project) 1. 102-D-26-3000 (#144-BS33) 25% 2.

Other Institutional Activities 1. 102-D-26-3000 15% 2. 3. 100% 100%

I certify that the above distribution of effort represents a reasonable estimate of all work performed by me during the indicated period.

Employee Signature Date

I certify that I have first-hand knowledge of all work performed by the above employee and that the above distribution of effort represents a reasonable estimate of work performed for the period indicated.

Supervisory Official Signature Date

Title 5 四月 2018