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TUTOR TIMESHEET FORM

Please fill out the form below in order to receive payment for tutoring services rendered. Checks are cut at the end of each month. If you have any questions or concerns, please email info@upstateinternational.org or call 864-631-2188.

TUTOR INFORMATION

Tutor Name

First Name

Last Name

Tutor Email

Verify Email

Tutor Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Tutor Phone

STUDENT INFORMATION

Student Name

First Name

Last Name

Student Email

Verify Email

SESSIONS DATES & TIMES

Hourly Rate

Not including additional $5 UI fee

Date(s)

MM/DD/YYYY

Start Time(s) - End Time(s)

Total Hours

Total Amount Due

Preferred Payment Method

Date Submitted

(mm/dd/yyyy)