Summer Schedule Request Form

2026 SUMMER SCHEDULE REQUEST FORM
Employee Name
Employee Email
example@lowercolumbia.edu
Number of hours you normally work per week
Please do your best to stick to the schedule you identify on this form. The sum of "Total Hours Working" and "Total Hours Leave" must equal your normal weekly work schedule. Your typical schedule must include at least a 30-minute lunch break.

If applicable, complete leave requests in ctcLink. Remember personal days must be used as full days and can't be split between days. Personal days are equal to the number of hours you are scheduled for the day you are using it. If needed, attach additional schedule information.

Weekly Schedule Information

If your request includes hours worked on Friday, please include the reason for the request and proposed work to be performed.
Total Hours Working
Total Hours of Leave
Total Hours Submitted (Should equal number of hours you normally work per week)
Supervisor Email
example@lowercolumbia.edu
Employee Signature

Clear
Today's Date

MonthDayYear
Date
HR Email
example@example.com
Should be Empty:

2026 SUMMER SCHEDULE REQUEST FORM