Monthly Task Checklist
Complete this form to track and report monthly tasks for your department.
Full Name
*
First Name
Last Name
Department
*
Please Select
Administration
Academic Affairs
Student Services
Facilities
IT Support
Other
Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
List of Monthly Tasks
*
Were there any tasks not completed this month?
*
Yes
No
If yes, please specify which tasks were not completed and the reasons.
Were there any issues or obstacles encountered?
*
Yes
No
If yes, please describe the issues or obstacles.
Suggestions for improvement or comments for next month
Supervisor Review
*
Reviewed and Approved
Reviewed with Comments
Needs Revision
Supervisor Comments
Date of Submission
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Checklist
Should be Empty: