Time and Effort Form

High Point University

Time and Effort Reporting Form

In order to comply with federal guidelines, this form must be completed and returned to the Office of Business Affairs no later than thirty days after the end of each semester and summer by every faculty member or salaried staff member working on an externally funded project.

Name: Department:

Semester: __ Fall 20__ (8/16-12/31)

__ Spring 20__ (1/1-5/15)

__ Summer 20__ (5/16-8/15)

Revised 5/1/13

High Point University

Time and Effort Reporting Form

Provide a breakdown of your responsibilities for this semester. The total must equal 100%

Actual Effort: %

1.  Teaching, Service, and Administrative Activities ______and/or

2. Externally funded activities: Percentages should reflect time paid by grant as well as unpaid time

contributed to the project (both the committed in-kind match of your time or any unexpected effort).

Account / Start Date of Effort / End Date of Effort / Proposed Effort / Actual Effort
__ Start of Semester
__ Project Start Date / __End of Semester
__Project End Date
__ Start of Semester
__ Project Start Date / __End of Semester
__Project End Date
__ Start of Semester
__ Project Start Date / __End of Semester
__Project End Date
__ Start of Semester
__ Project Start Date / __End of Semester
__Project End Date

Revised 5/1/13

High Point University

Time and Effort Reporting Form

TOTAL FOR 1 AND 2: ______

Please return the completed form to Jamie Naylor at .

I certify that to the best of my knowledge the above allocation of time expended performing Federal, State and other program duties is true and accurate.

Employee Signature Date

Certifying Signature* Date

*NOTE: If the employee named above is also the Project Director, please ask Department Chair to sign as confirming signature. The Project

Director may sign for all other salaried employees working on project.

Revised 5/1/13