Early Leave Request – Texas Pool Group

Name *

First

Last

Email *

Cell Phone

Employee PIN (Last 4 of Social Security Number) *

Assigned Facility *

College or University Attending *

College or University Start Date

Last Date Available to Work *

Willing to Work Weekends? *

Yes
No

What weekends? Please list. *

Please list any additional comments

Email Notification - I understand that the request is not complete until I receive email confirmation that my request has been approved. It is not Texas Pool Group's policy to restrict employees from leaving, however, without proper approval, I understand I will forfeit any seasonal bonus and my rehire status may be affected. *

Yes, I understand my request isn't approved until I receive email confirmation.