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Colorado Department <strong>of</strong> Labor <strong>and</strong> EmploymentSchool/Community Volunteer Activity Request FormName________________________________________ Phone:____________________Division: ___________________Supervisor:___________________________Description <strong>of</strong> School/Community Event/Activity:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Date & Time <strong>of</strong> Event: ____________________________________________________Employee Signature: _____________________________Supervisor/Mgr Approval: ________________________Date: _________________Date: _________________(Please attach any additional school or volunteer service documentation you might have to supportthis request)

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