Management - Paid Time Off Request - Gold Medal Swim School

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Employee Information

First Name*

Last Name*

Email*

Request for the following hours off (Paid Time Off, PTO):

Date*

Please enter the first day of PTO this request is being submitted for.

Hours Requested*

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Reason for PTO Request*

Would you like to request an additional day(s)?

Yes

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Additional Days

Date (2)*

Please enter additional day requested (Day 2)

Hours Requested - Day 2*

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Date (3)

Please enter additional day requested (Day 3)

Hours Requested - Day 3

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Date (4)

Please enter additional day requested (Day 4)

Hours Requested - Day 4

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Date (5)

Please enter additional day requested (Day 5)

Hours Requested - Day 5

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Date (6)

Please enter additional day requested (Day 6)

Hours Requested - Day 6

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

Date (7)

Please enter additional day requested (Day 7)

Hours Requested - Day 7

PTO must be taken in 4 hour increments, please speak directly with your supervisor if you are requesting an amount less than 4 hours. Similarly, if you are requesting unpaid time off please speak with your supervisor to ensure the time is properly accounted for.

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Total number of PTO Hours requested*

Please enter the total hours of PTO requested above.

Date Returning to Work*

Please enter the date you expect to return to work.

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Management – Paid Time Off Request

Salaried and Hourly Management - Paid Time Off Request

Employee Information

Request for the following hours off (Paid Time Off, PTO):

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Additional Days

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Management – Paid Time Off Request

Salaried and Hourly Management - Paid Time Off Request

Employee Information

Request for the following hours off (Paid Time Off, PTO):

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Additional Days

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