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Time Off Request Form

This form is only to be utilized by Success Center Staff members only!! The Employee time off request is meant to be filled out by an employee who requires permission to be absent from work. Please complete the form to request time off. Form must be completed at least 48 hours prior to request. Employee must complete the form in its entirety. The supervisor will correspond with the employee after review. Approval from one's place of employment must be gained in order to stray from the work schedule they agreed to. Please remember there is no paid leave or vacation for part time employees Type of Request (Check one of the following)
Supervisor Approval

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