Federal Community Service Program
FCSP Office - Sycamore Cottage - 36 Madison Avenue - Madison, NJ 07940
[email protected] - 973-408-3566 - fax 973-408-3535
Signature Authorization Form – 2014-2015
Organization: ____________________________________________________________
Please be advised that the below stated person has been authorized to sign Time Sheets as Supervisor of
Federal Community Service Program student employees who are working for this agency. We further
recognize that this signature, as indicated below, must appear on any Time Sheet submitted to Drew
University for payroll processing. If the Supervisory person changes, a new Signature Authorization Form is
required. Any questions, contact Bill Hinman at [email protected] or 973-408-3566. Thank you.
Name of Supervisor:
Title:
Supervisor Signature:
Alternative Signatures:
Name: ___________________________________________________________________________
Signature: ______________________________________________________________________
Name: ___________________________________________________________________________
Signature: ______________________________________________________________________
Name: ___________________________________________________________________________
Signature: ______________________________________________________________________
Organization:
Address: ________________________________________________________________________
Email:
Date: