Transportation Summer Electronic Proxy
PLEASE ENSURE TO FILL OUT ACCURATELY AND COMPLETELY.
Email *
1) Employee Name *
2) Phone # (xxx-xxx-xxxx) *
3) Seniority #
Are You Currently Working?
If YES, please fill out the next 5 questions. If NO, proceed to question # 9.
4) Current Route / Work Assignment
5) AM Punch In
Time
:
6) AM Punch Out
Time
:
7) PM Punch In
Time
:
8) PM Punch Out
Time
:
9) ROUTE CHOICE # 1
10) ROUTE CHOICE # 2
11) PARTIAL CHOICE # 1
12) PARTIAL CHOICE # 2
NON - DRIVING CHOICE SELECTION
The next two (2) boxes are for non-driving work. For example, bus washing, pick-day help, kindergarten orientation.
13) NON - DRIVING CHOICE # 1
14) NON - DRIVING CHOICE # 2
15) NON - DRIVING CHOICE # 3
Additional Comments for Management
ACKNOWLEDGEMENT UPON SUBMISSION
I understand that once I accepted work, I am committed to the work and will perform the awarded work in its entirety until it is completed. I also understand that I cannot hold more than forty hours of work per week and do not anticipate that this work will put me over hours. In the event that it down put me over forty (40) hours per week, I understand that I will be required to surrender work at Management's discretion.
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