CNE Time Off Request Form - Center for Nonprofit Excellence

Name*

First Last

Email*

My Supervisor is:*

Your supervisor will be notified via email after submission of this form. They will notify you if the PTO has been approved OR denied.

Reason for Time Off*

Please see Employee Handbook for all types of leave.

Number of Requests*

#1 - Requested Leave Start Date*

#1 - Requested Leave End Date*

#1 - Requested PTO Hours*

#1 - Comments

#1 - Will you have accrued sufficient PTO hours by the requested leave date?*

Yes
No

As a reminder, all full-time staff members accrue 13.3 PTO hours per month. Staff are permitted to "advance" use of PTO subject to manager approval. Please check your PTO balance if you are unsure.

#1 - How many PTO hours are you requesting to advance?*

#1 - Agreement*

I have requested to take PTO for a number of hours which is more than the number of PTO hours for which I will have earned to the date. I request that CNE advance PTO pay to me for the amount of PTO hours I've listed in the previous question.

#1 - Authorization*

In the event that my employment is terminated, or I resign prior to earning enough PTO hours to cover this advance, I agree to: (A) Repay any remaining unearned balance at the time I cease to be employed by CNE; and to (B) Allow CNE to deduct any amount which I owe from my last paycheck and/or any future commission checks which may be due to me after the termination of my employment.

#2 - Requested Leave Start Date*

#2 - Requested Leave End Date*

#2 - Requested PTO Hours*

#2 - Comments

#2 - Will you have accrued sufficient PTO hours by the requested leave date?*

Yes
No

As a reminder, all full-time staff members accrue 13.3 PTO hours per month. Staff are permitted to "advance" use of PTO subject to manager approval. Please check your PTO balance if you are unsure.

#2 - How many PTO hours are you requesting to advance?*

#2 - Agreement*

I have requested to take PTO for a number of hours which is more than the number of PTO hours for which I will have earned to the date. I request that CNE advance PTO pay to me for the amount of PTO hours I've listed in the previous question.

#2 - Authorization*

In the event that my employment is terminated, or I resign prior to earning enough PTO hours to cover this advance, I agree to: (A) Repay any remaining unearned balance at the time I cease to be employed by CNE; and to (B) Allow CNE to deduct any amount which I owe from my last paycheck and/or any future commission checks which may be due to me after the termination of my employment.

#3 - Requested Leave Start Date*

#3 - Requested Leave End Date*

#3 - Requested PTO Hours*

#3 - Comments

#3 - Will you have accrued sufficient PTO hours by the requested leave date?*

Yes
No

As a reminder, all full-time staff members accrue 13.3 PTO hours per month. Staff are permitted to "advance" use of PTO subject to manager approval. Please check your PTO balance if you are unsure.

#3 - How many PTO hours are you requesting to advance?*

#3 - Agreement*

I have requested to take PTO for a number of hours which is more than the number of PTO hours for which I will have earned to the date. I request that CNE advance PTO pay to me for the amount of PTO hours I've listed in the previous question.

#3 - Authorization*

In the event that my employment is terminated, or I resign prior to earning enough PTO hours to cover this advance, I agree to: (A) Repay any remaining unearned balance at the time I cease to be employed by CNE; and to (B) Allow CNE to deduct any amount which I owe from my last paycheck and/or any future commission checks which may be due to me after the termination of my employment.

#4 - Requested Leave Start Date*

#4 - Requested Leave End Date*

#4 - Requested PTO Hours*

#4 - Comments

#4 - Will you have accrued sufficient PTO hours by the requested leave date?*

Yes
No

As a reminder, all full-time staff members accrue 13.3 PTO hours per month. Staff are permitted to "advance" use of PTO subject to manager approval. Please check your PTO balance if you are unsure.

#4 - How many PTO hours are you requesting to advance?*

#4 - Agreement*

I have requested to take PTO for a number of hours which is more than the number of PTO hours for which I will have earned to the date. I request that CNE advance PTO pay to me for the amount of PTO hours I've listed in the previous question.

#4 - Authorization*

In the event that my employment is terminated, or I resign prior to earning enough PTO hours to cover this advance, I agree to: (A) Repay any remaining unearned balance at the time I cease to be employed by CNE; and to (B) Allow CNE to deduct any amount which I owe from my last paycheck and/or any future commission checks which may be due to me after the termination of my employment.

#5 - Requested Leave Start Date*

#5 - Requested Leave End Date*

#5 - Requested PTO Hours*

#5 - Comments

#5 - Will you have accrued sufficient PTO hours by the requested leave date?*

Yes
No

As a reminder, all full-time staff members accrue 13.3 PTO hours per month. Staff are permitted to "advance" use of PTO subject to manager approval. Please check your PTO balance if you are unsure.

#5 - How many PTO hours are you requesting to advance?*

#5 - Agreement*

I have requested to take PTO for a number of hours which is more than the number of PTO hours for which I will have earned to the date. I request that CNE advance PTO pay to me for the amount of PTO hours I've listed in the previous question.

#5 - Authorization*

In the event that my employment is terminated, or I resign prior to earning enough PTO hours to cover this advance, I agree to: (A) Repay any remaining unearned balance at the time I cease to be employed by CNE; and to (B) Allow CNE to deduct any amount which I owe from my last paycheck and/or any future commission checks which may be due to me after the termination of my employment.