Volunteer (VTO) Leave Request Form

Volunteer (VTO) Leave Request Form

CPR encourages employees to give back to their communities through volunteer service. Complete this form to request Volunteer Time Off!
ADM-HR 131: Volunteer Time Off (VTO) Policy

All full-time employees are eligible to participate in the volunteer program after six (6) months of continuous employment. Employees can choose a 501(c)(3) nonprofit or equivalent charity to volunteer and/or employees may also choose to volunteer at their children’s school.

Please Note: Submission of this form does not constitute approval. Employees must receive supervisor approval before participating in a volunteer activity during scheduled work hours.
Full Legal Name

First NameLast Name
CPR Email Address
example@cprecovery.com
Date of Hire

MonthDayYear
Date
Are you FT or PT?
Have you already used VTO during the current calendar year (Jan-Dec)?
Please provide the name of the organization, contact person, location address and phone number for where you plan to volunteer.
Name of the Organization
Contact Name

First NameLast Name
Location Address
Contact Number
Please enter a valid phone number.
How many hours do you plan to volunteer?
How many hours do you plan to volunteer?
Date(s) you plan to volunteer:
Date you plan to volunteer:

MonthDayYear
Date
Supervisor's Full Legal Name

First NameLast Name
Supervisor's CPR Email Address
example@cprecovery.com
Supervisor's Status
Reason for denial:
Supervisor Signature
Should be Empty: