Volunteer Time Off Request Form

Name*

First NameLast Name

Email Address*

Date Requested*

Date

Department*

Shift(s) Scheduled*

AMMidPM

Day of the Week*

Note: for absences due to illness with less than 48 hours notice, Clinic volunteers are required to call the clinic phone (458) 224-8224 to inform a staff member and/or send a message to the GroupMe. WEP Volunteers are required to text or call their supervisor.

We encourage volunteers to form good habits regarding time off requests in the workplace. Please take measures to complete the following steps prior to submitting this form:

Please check all statements that are true*

I have already spoken to my supervising staff member and/or Volunteer Coordinator regarding this time off request (we do check up on this)The date I am requesting off is more than 7 calendar days away