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This form is provided for YSU students who work either at YSU Info & PC Lab or for the Setup Crew at Kilcawley Center. Please note that submission of this form is not in place of reporting off. To report off, call 330-941-3571 and explain your reason to the supervisor on duty. You are responsible for your shift until you receive confirmation from your supervisor that your change of hours has been approved.

NAME:
DATE:
Work Area:
YSU Info & PC Lab    Setup Crew
Reason for change: (please check one and explain below)
Tardy
Absent
Substitution
Date:
Time:
Replacement's
Name:
Reason for change: (please explain)
This form is not in place of reporting off. To report off, call 330-941-3571 and explain your reason to the supervisor on duty. You are responsible for your shift until you receive confirmation from your supervisor that your change of hours has been approved.
By checking here you acknowledge that you have read and understand the above statement.
This form will be submitted to John Young. After submission you will be redirected to the Kilcawley Center Home page. Thank you.

YSU Info
& PC Lab

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Schedule Change Form for YSU Info & PC Lab and Set-up Crew
Youngstown State University