EMPLOYEE REQUES T FOR CHANGE IN WORK SHIFT OR DAYS …
EMPLOYEE REQUEST FOR CHANGE IN WORK SHIFT OR DAYS OFF
(This Application to be filed w ith Imme diate Superv isor)
NAME OF APPLICANT
______________________________________________________________________________________
(Last)
(First)
(Middle)
PRESENT DEPARTMENT _____________________________
PRESENT TITLE ________________________________
PRESENT GRADE ______ PRESENT SHIFT ________________ SHIFT DESIRED
PRESENT DAYS OFF _____________________ DESIRED DAYS OFF ________________________________
COMM ENTS OR INFORMATION YO U WOULD LIKE TO MAKE CONCERNING THIS REQUEST:
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_______________________________________
Date of Application)
(Signature of Employee)
(THIS FORM MUST BE RENEWED ON OR AFTER JANUARY OF EACH YEAR)
. . . . . . . . . . . . . Do Not Write Below This Line . . . . . . . . . . . . . FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT ____________________________________
CAMPUS SENIORITY DATE OF APPLICANT ____________________________________
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