1. PHOTOCOPYING
      2. CHECK YES OR NO

Evening & Weekend Division Office

Clerical Support Request Form

 

 

ALL CLERICAL SUPPORT SERVICES REQUESTED FROM THE EVENING & WEEKEND DIVISION OFFICE MUST BE ACCOMPANIED BY A REQUEST FORM. ALL WORK REQUESTED MUST BE SUBMITTED THREE (3) WORKING DAYS PRIOR TO THE DUE DATE.

 

FACULTY NAME: _________________________________________________

 

DATE SUBMITTED: ___________________________ DUE DATE: ________________________

 


PHOTOCOPYING

 

 

NUMBER OF ORIGINALS SUBMITTED (PAGES) ____________________

 

 

NUMBER OF COPIES/SETS NEEDED _____________________

 

 

(SIZE OF PAPER) 8 1/2 x 11 ____________ 8 ½ x 14 ________________

 

 

 


CHECK YES OR NO

 

BACK & FRONT YES_____ NO______

STAPLED YES_____ NO______

COLLATED YES_____ NO______

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

TOTAL NUMBER OF PAGES COPIED: ____________________________________________________

 

DATE COMPLETED:____________________________________________________________________

 

FACULTY PICK-UP DATE: _______________________________________________________________

 

WORK COMPLETED BY: ________________________________________________________________

 

 

 

 

Form EWD/001 (3/05)

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