Admin Support Snow/Closed Day Form

PLEASE READ CAREFULLY:

All Horizon Elementary School Administrative Support employees are required to complete this form to account for the November 21 (11:00 a.m. - end of contracted work time) and November 22, (full contracted day), 2011, Emergency Closed Days. Failure to submit a complete and accurate form by the specific deadline listed below may result in a reduction in pay on May 25, 2012.

Outlined below are your choices for the closed day and the payroll deadlines for submission:

CHOICES	PAYROLL DEADLINES
Report to Your Building and Work	November 29, 2011
Use a Reimbursable Day	November 29, 2011
Reduction in Pay	November 29, 2011
Make Up the Hours	May 15, 2012

SECTION 1 (IMPORTANT INFORMATION)

Please fill in the following information carefully and accurately:

First Name:

Middle Initial:

Last Name:

Building Code:

Use your Ctrl & Shift keys to select multiples.

Job Title/Assignment:

Please indicate your contracted work hours per day (Ex: 8:30am - 4:30pm):

Check the days of the week you are contracted to work:

	Monday			Thursday
	Tuesday			Friday
	Wednesday

If the Snow/Weather/Closed day fell on a day you were not contracted to work, check the box below. Then, scroll to the end of the form, and click on "Submit".

Non-Work Day

SECTION 2 (CHOICES)

Please choose one of the five items below to account for the Snow/Closed day, enter the amount, then click "Submit". If you are making up the time, you will continue on to Section 3:

1. I worked ___hours on the two closed days.

2. I will use ______ hours reimbursable time.

3. Reduce my pay by ___ hours.

4. I have designated ___ snow hours in MyLearning Plan.

5. I am entering ___ make-up hours in Section 3 below showing non-contracted work time.

SECTION 3 (MAKING UP THE TIME)

If you are choosing to make up the time, please use as many entries below as needed to submit non-contracted work hours (up to five dates). Don't complete the form unless you have already made up the time. Keep track of your hours, then enter them all at once. Deadline for submission is May 15, 2011. Summer work hours can be used.

PLEASE DO NOT ENTER IN-DISTRICT OR OUT-OF-DISTRICT WORKSHOPS (TRACKED SEPARATELY).