Faculty Voluntary Furlough Program
Name:
Employee ID:
Department:
Supervisor:
Email Address:
Pay Reduction (Not to exceed 5%)
3 Credit Hour Course Release
4 Credit Hour Course Release
Pay Reduction (Not to exceed 5%)
Reduction Election Amount
________ %
Notes:
Approvals
________________________________ ________________
Employee Signature D
ate
A
pprove
________________________________ _________
_______ Decline
Department Chair
Signature Date
A
pprove
________________________________ ________________ Decline
Dean or VP Signature D
ate
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