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AppleWorks Document  |  1986-05-15  |  2KB  |  23 lines
  1. O=====|====|====|====|====|====|====|====|====|====|====|====|====|====|====|===
  2. EXTRA DAYS OFF REQUEST FORM
  3. NAME_____________________________________________DATE___________________
  4. I AM REQUESTING ____ EXTRA DAYS OFF.  DATE(S) ______ TO ________________
  5. MY REGULAR DAY OFF THAT WEEK IS ________________
  6. TOTAL DAY(S) OFF _______________
  7. STAFF SIGNATURE _______________________________________DATE ____________
  8. SUPERVISOR APPROVAL ___________________________________DATE ____________
  9. ADMINISTRATION APPROVAL _______________________________DATE ____________
  10. (ONE EXTRA DAY OFF IS COVERED FOR EACH FOUR WEEKS OF SERVICE)
  11. COMMENTS
  12. ------------------------------------------------------------------------
  13. EXTRA DAYS OFF REQUEST FORM
  14. NAME_____________________________________________DATE___________________
  15. I AM REQUESTING ____ EXTRA DAYS OFF.  DATE(S) ______ TO ________________
  16. MY REGULAR DAY OFF THAT WEEK IS ________________
  17. TOTAL DAY(S) OFF _______________
  18. STAFF SIGNATURE _______________________________________DATE ____________
  19. SUPERVISOR APPROVAL ___________________________________DATE ____________
  20. ADMINISTRATION APPROVAL _______________________________DATE ____________
  21. (ONE EXTRA DAY OFF IS COVERED FOR EACH FOUR WEEKS OF SERVICE)
  22. COMMENTS
  23.