CEMENT MASON APPRENTICE MONTHLY PROGRESS REPORT

INSTRUCTIONS: Write the total hours from the previous Monthly Progress Record in Colum B. Enter daily, to the nearest hour, time spent on each Work process; add the hours from Column B plus Daily Record and enter total in Column C. Keep a copy of each MPR for your next month’s entry.

Oregon and Southwest Washington Cement Masons Apprenticeship and Training 12812 N.E. Marx Street Portland, Oregon 97230-1067 Toll Free: 866-408-8555 Phone: 503-408-8555 Fax: 503-251-9995

Name:

Address:

Date Received

Month:

Year:

COLUMN  A

COLUMN B

Each day record the number of hours you work on each work process.

COLUMN  C

Breakdown your work

Hours brought

Total Hours

hours into the categories

forward from

to Date

listed below.

last month.

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

A. Screed / Form Work (500)

B. Finishing Flatwork (2500)

C. Curb & Gutter (500)

D. Paving Finishing (300)

E. Grind / Sack / Patch (2000)

F. Trowel Machine (100)

G. Steps (100)

H. Credit Hours

I. Miscellaneous

TOTAL HOURS

Class Hours Attended

EMPLOYER: Please answer the following question:

YES

NO

Instructor's Comments:

1. Is the apprentice punctual?

2. Is he / she willing to work?

Instructor's Signature:

3. Does he / she show initiative?

Name of Firm / Employer:

4. Is his / her quality of work good?

Location of Work Site:

5. Does he / she follow established safety practices?

6. If the apprenice is due for rerating would you approve?

Current Wage Per Hour:

Are you due for rerating?

EMPLOYER'S COMMENTS:

Apprentice: I certify that the above information is correct.

Phone:

Signature:

Date:

EMPLOYER'S SIGNATURE: