QuarkNet Time Sheet

+----------------+-----------------+----------------+-----------------+
| [Dat           | [June           | [July          | [August         |
| e]{.smallcaps} | 20              | 200            | 20              |
|                | 06]{.smallcaps} | 6]{.smallcaps} | 06]{.smallcaps} |
|                | (hours)         | (hours)        | (hours)         |
+----------------+-----------------+----------------+-----------------+
| > 1            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 2            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 3            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 4            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 5            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 6            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 7            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 8            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 9            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 10           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 11           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 12           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 13           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 14           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 15           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 16           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 17           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 18           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 19           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 20           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 21           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 22           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 23           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 24           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 25           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 26           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 27           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 28           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 29           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 30           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 31           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
|                |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Month End     | hours           | hours          | hours           |
| Total          |                 |                |                 |
| s]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Grand         | hours           |                |                 |
| Tota           |                 |                |                 |
| l]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+

This is an accurate representation of my time meeting local QuarkNet
obligations.

  ------------------------------------------ -- --------------------------
  Participant's Signature                       Date

  Participant's Printed Name                    

                                                Social Security Number

  Participant's address                         

                                                

                                                Participant's Phone

  Mentor's Signature                            Date

  Mentor's Printed Name                         
  ------------------------------------------ -- --------------------------

QuarkNet Time Sheet

+----------------+-----------------+----------------+-----------------+
| [Dat           | [September      | [October       | [November       |
| e]{.smallcaps} | 20              | 200            | 20              |
|                | 06]{.smallcaps} | 6]{.smallcaps} | 06]{.smallcaps} |
|                | (hours)         | (hours)        | (hours)         |
+----------------+-----------------+----------------+-----------------+
| > 1            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 2            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 3            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 4            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 5            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 6            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 7            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 8            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 9            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 10           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 11           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 12           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 13           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 14           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 15           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 16           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 17           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 18           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 19           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 20           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 21           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 22           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 23           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 24           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 25           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 26           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 27           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 28           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 29           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 30           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 31           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
|                |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Month End     | hours           | hours          | hours           |
| Total          |                 |                |                 |
| s]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Grand         | hours           |                |                 |
| Tota           |                 |                |                 |
| l]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+

This is an accurate representation of my time meeting local QuarkNet
obligations.

  ------------------------------------------ -- --------------------------
  Participant's Signature                       Date

  Participant's Printed Name                    

                                                Social Security Number

  Participant's address                         

                                                

                                                Participant's Phone

  Mentor's Signature                            Date

  Mentor's Printed Name                         
  ------------------------------------------ -- --------------------------

QuarkNet Time Sheet

+----------------+-----------------+----------------+-----------------+
| [Dat           | [December       | [January       | [February       |
| e]{.smallcaps} | 20              | 200            | 20              |
|                | 06]{.smallcaps} | 7]{.smallcaps} | 07]{.smallcaps} |
|                | (hours)         | (hours)        | (hours)         |
+----------------+-----------------+----------------+-----------------+
| > 1            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 2            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 3            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 4            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 5            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 6            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 7            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 8            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 9            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 10           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 11           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 12           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 13           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 14           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 15           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 16           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 17           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 18           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 19           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 20           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 21           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 22           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 23           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 24           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 25           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 26           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 27           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 28           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 29           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 30           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 31           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
|                |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Month End     | hours           | hours          | hours           |
| Total          |                 |                |                 |
| s]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Grand         | hours           |                |                 |
| Tota           |                 |                |                 |
| l]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+

This is an accurate representation of my time meeting local QuarkNet
obligations.

  ------------------------------------------ -- --------------------------
  Participant's Signature                       Date

  Participant's Printed Name                    

                                                Social Security Number

  Participant's address                         

                                                

                                                Participant's Phone

  Mentor's Signature                            Date

  Mentor's Printed Name                         
  ------------------------------------------ -- --------------------------

QuarkNet Time Sheet

+----------------+-----------------+----------------+-----------------+
| [Dat           | [March          | [April         | [May            |
| e]{.smallcaps} | 20              | 200            | 20              |
|                | 07]{.smallcaps} | 7]{.smallcaps} | 07]{.smallcaps} |
|                | (hours)         | (hours)        | (hours)         |
+----------------+-----------------+----------------+-----------------+
| > 1            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 2            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 3            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 4            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 5            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 6            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 7            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 8            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 9            |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 10           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 11           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 12           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 13           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 14           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 15           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 16           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 17           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 18           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 19           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 20           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 21           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 22           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 23           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 24           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 25           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 26           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 27           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 28           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 29           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 30           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| > 31           |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
|                |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Month End     | hours           | hours          | hours           |
| Total          |                 |                |                 |
| s]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+
| [Grand         | hours           |                |                 |
| Tota           |                 |                |                 |
| l]{.smallcaps} |                 |                |                 |
+----------------+-----------------+----------------+-----------------+

This is an accurate representation of my time meeting local QuarkNet
obligations.

  ------------------------------------------ -- --------------------------
  Participant's Signature                       Date

  Participant's Printed Name                    

                                                Social Security Number

  Participant's address                         

                                                

                                                Participant's Phone

  Mentor's Signature                            Date

  Mentor's Printed Name                         
  ------------------------------------------ -- --------------------------