Do not fill out this form if you are a Clubhouse Volunteer. Please email clubhousevol@nationwidechildrens.org to request time off. Please call the Volunteer Program at (614) 722-3635 if you plan to be absent for more than 6 weeks.

Volunteer Time Off Request Form Name

Phone (ex. 888 8888888)

Email Address

Volunteer Assignment

Coordinator Name

Day Worked

Friday Monday Saturday Sunday Thursday Tuesday Wednesday

I will not be here for my regular shift on the following date(s)

I will return for my regular shift on

Comments or Questions

Do not fill out this form if you are a Clubhouse Volunteer. Please email clubhousevol@nationwidechildrens.org to request time off. Please call the Volunteer Program at (614) 722-3635 if you plan to be absent for more than 6 weeks.

Volunteer Time Off Request Form Name

Phone (ex. 888 8888888)

Email Address

Volunteer Assignment

Coordinator Name

Day Worked

Friday Monday Saturday Sunday Thursday Tuesday Wednesday

I will not be here for my regular shift on the following date(s)

I will return for my regular shift on

Comments or Questions

Do not fill out this form if you are a Clubhouse Volunteer. Please email clubhousevol@nationwidechildrens.org to request time off. Please call the Volunteer Program at (614) 722-3635 if you plan to be absent for more than 6 weeks.

Do not fill out this form if you are a Clubhouse Volunteer. Please email clubhousevol@nationwidechildrens.org to request time off.

Please call the Volunteer Program at (614) 722-3635 if you plan to be absent for more than 6 weeks.

Volunteer Time Off Request Form Name

Phone (ex. 888 8888888)

Email Address

Volunteer Assignment

Coordinator Name

Day Worked

Friday Monday Saturday Sunday Thursday Tuesday Wednesday

I will not be here for my regular shift on the following date(s)

I will return for my regular shift on

Comments or Questions

Volunteer Time Off Request Form

Name

Phone (ex. 888 8888888)

Email Address

Volunteer Assignment

Coordinator Name

Day Worked

Friday Monday Saturday Sunday Thursday Tuesday Wednesday

I will not be here for my regular shift on the following date(s)

I will return for my regular shift on

Comments or Questions