Temporary schedule change / day off request form Please indicate the day or days you wish to temporarily change. PLEASE DO NOT use Internet Explorer to fill out this form. Use Firefox, Chrome or Safari. Please submit schedule change requests at least three business days before the day of the first tutoring shift affected by the requested change. Remember to check any existing appointments that will be affected by this change. Additionally, make sure to alert us if this change will affect your weekly education session(s). Completion of this form is not a guarantee of a schedule change. You will receive official notification from a Writing Hub staff member approving or denying your request via email. If you have not received email confirmation of a schedule change, you are responsible for any appointments that are booked. Name* First Last Email* Today's date* Day Off or Temporarily Change?*Take day offAmend HoursDate to Change New Start Time (Same Day) : HH MM AM PM New End Time : HH MM AM PM Do you have a second start/end time for this same day?*YesNoSecond Start Time (Same Day) : HH MM AM PM Second End Time (Same Day) : HH MM AM PM Make another temporary schedule change request?*YesNoSecond RequestDay Off or Temporarily Change?*Take day offAmend HoursDate to Change New Start Time : HH MM AM PM New End Time : HH MM AM PM Do you have a second start/end time for this same day?*YesNoSecond Start Time (Same Day) : HH MM AM PM Second End Time (Same Day) : HH MM AM PM Make another temporary schedule change request?YesNoThird RequestDay Off or Temporarily Change?*Take day offAmend HoursDate to Change New Start Time : HH MM AM PM New End Time : HH MM AM PM Do you have a second start/end time for this same day?*YesNoSecond Start Time (Same Day) : HH MM AM PM Second End Time (Same Day) : HH MM AM PM Comments Δ