Off-Site Work Proposal

* Indicates required field

Name *

First

Last

Email *

Date of Proposed Work

Day *

Month *

Date *

Year *

Proposed Time

Starting Time 1 *

Ending Time 1 *

Starting Time 2 (if applicable) *

Ending Time 2 (if applicable) *

Total Proposed Time *

Explanation (optional) *

Description

I propose to complete the following tasks: *

I will verify completion of above task(s) with: *

A Link to Completed Online Work A Picture of Work Other (Describe Below)

Other Verification - Describe Below: *

Check Below if You Understand and Agree *

Checking this box indicates that I agree and understand that these work hours will be rejected if work completed is not representative of time spent. I agree that my supervisors have the sole authority to make such a determination.

Check Below if You Understand and Agree *

This proposed off-site work project is not payable until approved. Approval/Rejection will be sent by email to the address above.

Additional Comments *

Submit