8332 Request For Cell Phone printable pdf download

8332 Request For Cell Phone

NORTH COLONIE

8332-E.1

REQUEST FOR CELL PHONE FORM

This form must be completed and approved by the employee’s supervisor and the

Assistant Superintendent for Business before a cell phone may be issued. Once

approvals are obtained, the employee must complete and submit the Cell Phone

Agreement Form before the phone will be issued.

Employee’s Name: ______________________________________________________

Title: __________________________________________________________________

Primary Work Location: __________________________________________________

Please describe why this position requires that a cell phone be issued (it is

recommended that the employee refer to the Board of Education Cell Phone Policy):

_____________________________________________________________________

Anticipated amount of use (daily, occasionally, only in emergency situations, etc.):

______________________________________________________________________

Employee’s Signature: __________________________________ Date: ___________

Supervisor’s Signature: __________________________________ Date: ___________

Approved by Assistant Superintendent for Business: ___________________

Date: _______________

Adopted: May 22, 2006

8332 Request For Cell Phone