<p> Yale Student Employment University Office</p><p>Federal Work-Study Community Service Authorized Timesheet Signers</p><p>Agency Name Name of the Off-Campus Organization</p><p>Required Primary Contact Information:</p><p>Name</p><p>Address Phone Fax Email</p><p>Authorized Signers: We understand and agree to the terms and conditions for time-keeping and reporting. We understand that we are authorized to sign timesheets for students and that we are responsible for the accuracy of information on such timesheets.</p><p>______Print Name of Chairperson/Director/Manager Signature of Chairperson/Director/Manager</p><p>______Name of Additional Authorized Signer (print) Signature</p><p>______Name of Additional Authorized Signer (print) Signature</p><p>______Name of Additional Authorized Signer (print) Signature</p><p>______Name of Additional Authorized Signer (print) Signature</p>