Work-Based Learning Weekly Production Report

Name of Student: ______Date of Report: ______

Firm’s Name: ______Business Telephone: ______

What were your job responsibilities this past week? What specific tasks were involved?

______

Related assignments at school: Indicate the subject(s) studied, topic(s) considered, and how these related to the activities that you were engaged in on the job this past week. ______

______

Weekly Time and Earning Summary

Day Date Time Started Time Ended Total Hours Worksite Supervisor’s Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

______Student Signature Date ______Worksite Supervisor’s Signature Date *Note: Supervisor’s signatures are only needed at the end of the month. Staple each week’s report together, have your supervisor review your reports and sign confirming the accuracy of the report.