Elders & Deacons
Bible and Book Studies
Service and Outreach
Calendar and Info
Fill in the form below to send a PTO Request to Cheryl Pfeiffer. PLEASE NOTE: PTO is not approved until done so by your supervisor.
I Am Requesting PTO for the Following:
1st Sick Day
2nd Sick Day
Death In Family
Date or Dates you need off?
Total days or hours of PTO you are requesting?
Any other information you would like to provide regarding your request for time off?
FOR OFFICE USE ONLY/This Employee has how many total days/hours of PTO for this Calendar Year?:
FOR OFFICE USE ONLY/To date how many hours/days of PTO has this employee used?:
FOR OFFICE USE ONLY/This particular PTO request will use how many hours/days of PTO?:
FOR OFFICE USE ONLY/Following this request how many hours/days of PTO does this employee have left?:
FOR OFFICE USE ONLY/ Supervisor Approval: Please circle one: Approved Not Approved
FOR OFFICE USE ONLY/ Supervisor: Please give rationale if not approved.
FOR OFFICE USE ONLY/ Supervisor: Date of Approval
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