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Vacation Request Form
Work Schedule Request

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Request for Hours for Work Schedule

Click on "Submit" button at bottom of form when done,
Form will be emailed to Mary Lou and Linda.

Name:

Email:

Schedule request for:
[Semester & Year]

(Example: Spring 2007)

What are some scheduling considerations we should be aware of as we build a work schedule for you?

Given the fact that if you are taking a full load of 12 credits hours of classes, you should not plan to work more than 20 hours per week, please answer the following question, if not, please skip to the next section:

If you are taking classes, please estimate how many credit hours you plan to take:

Please list the times & days of the classes you are taking

Is there a minimum number of hours you want to work per week?

Is there a maximum number of hours you want to work per week?

Fill out days and times you can work in the blanks below:

Day	Block of hours available	Preferred hours to work	Minimum time need	Maximum time/hrs
Examples: Monday Monday	7:00am - 2:00 4pm - closing	latest hours before 2 earliest hours (3 or 4 hrs)	3 hours 2 hours	6 hours 5.5 hrs

Other comments regarding your work schedule (include other time commitments e.g. clubs, other jobs):

Submit will send the information typed above via email.
You can also print a copy of what was sent for your records.

Reset will blank out and lose the information typed above.