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Additional Hours Request Form
Staff Name
*
First Name
*
Last Name
*
Staff ID
*
How many ADDITIONAL hours per week would you like to work?
*
5 or less hrs (added to your current weekly schedule)
5 to 10 hrs
10 to 20 hrs
20 to 30 hrs
30 to 40 hrs
Other:
Other Value
Which areas of Illinois are you able to serve?
*
Chicago - North of Loop
Chicago - West of Loop
Chicago - Other
Cook County - Non-Chicago
DuPage County
Kane County
Lake County
McHenry County
Will County
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