Summer Work Certification
This is to certify that I am working full time during the period(s) noted
below and will not be taking vacation.
Date(s) Working:
Start Date: ________________________ End Date: _______________________
Start Date: ________________________ End Date: _______________________
Start Date: ________________________ End Date: _______________________
Start Date: ________________________ End Date: _______________________
Start Date: ________________________ End Date: _______________________
Printed Name: ____________________________________________________________
Signature: ____________________________________________________________
Date: ________________________________
Approved by Provost:
Printed Name: ___________________________________________________________
Signature: ___________________________________________________________
Date: ________________________________
Submit this form along with your Research Foundation appointment form to the
Office of Human Resources
Revised 5.03.19
The Research Foundation for The State University of New York College of Environmental Science and Forestry
Office of Human Resources • 216 Bray Hall • Forestry Drive • Syracuse, New York 13210
315-470-6611 (Phone) • 315-470-6953 (Fax) • www.esf.edu/hr