TIME OFF REQUEST rc 4 Name: \Tfont _lhck-ton Month: ymin! Please write in the dates on the calendar below. This needs to be tumed in on the 15th of the month Prior. Please list the times. you are unavailable to work. For every unavailable date you must also list the a valid reason you are not abie to work. Use the back of this sheet for more space. REMINDER: This is only a request and isnot a guarantee!!! Sun Mon Tue [_ wed Thu 1 Fri | Sat ‘3 G | L 4 4 = “I € G ¥ v L a AN a AU Ley L ot Es a, Sake Vee pes ewe Fi c Yt Sues Chain ey 166 6:30-7:40 AN Dw wv | is e a \c , Le wG Eeeety or =