| Beginning Date: | Beginning Time:: | ||
| Ending Date: | Ending Time: | ||
| Be charged to: | Total Hours: |
| _______________________________ | __________________________ | |||
Signature |
Date | |||
| Recommended: | Yes | No | _______________________________ | __________________________ |
|
|
Division Vice President |
Date | ||
| Acceptable: | Yes | No | _______________________________ | __________________________ |
|
|
Vice President Administrative Services |
Date | ||
| Approved: | Yes | No | _______________________________ | __________________________ |
|
|
President |
Date |
Explain:
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____________________________________________________________________________________________