Gratis Faculty Form Letter - Lsu Health New Orleans printable pdf download

Gratis Faculty Form Letter - Lsu Health New Orleans

GRATIS FACULTY FORM LETTER

DATE: ____________________________________

TO: LSU HEALTH SCIENCES CENTER PARKING SERVICES

RE: REQUEST FOR GRATIS PARKING

THIS REQUEST FOR GRATIS PARKING MUST BE COMPLETE WITH ALL

REQUIRED SIGNATURES. IT WILL REMAIN ON FILE WITH THE PARKING

OFFICE AND WILL HAVE TO BE RENEWED EACH PARKING YEAR BY JULY

OF NEW FISCAL YEAR.

GRATIS FACULTY NAME: ___________________________________________

WORK LOCATION: _________________________________________________

NUMBER OF VOLUNTEER HOURS WORKED PER WEEK: _______________

NUMBER OF WEEKS WORKED PER YEAR: ____________________________

ANTICIPATED DATE PROJECT/WORK WILL BE COMPLETED: ___________

I VERIFY THAT THIS INDIVIDUAL IS FUNCTIONING AS A GRATIS EMPLOYEE

AT LSU HEALTH SCIENCES CENTER.

DEPARTMENT HEAD SIGNATURE: ___________________________________

DEPARTMENT NAME: _______________________________________________

APPROVED BY DEAN OF SCHOOL: ___________________________________

***

THOSE FACULTY MEMBERS WHO DONATE THEIR TIME TO THE UNIVERSITY AND RECEIVE NO

COMPENSATION AND WHO PARK FOR FOUR (4) HOURS OR LESS PER WEEK IN UNIVERSITY FACILITIES WILL BE

PROVIDED PARKING PRIVILEGES AT NO COST OTHER THAN THE REFUNDABLE GATE CARD DEPOSIT OF $20.00.

Gratis Faculty Form Letter - Lsu Health New Orleans