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| Date | District | Name | Supervisor | | Location (auto-fill from pin) | Locations | Shift | Hours/Week | Benefits? | New Job | New Pay | Reason(s) for leaving | Leave_Comments____________________ | Reconsider for: | Stay_Comments______________________ | Shirts Returned? | Shirt Returned to: | Keys Returned? | Keys Returned to: |
| Date | District | Name | Supervisor | | Location (auto-fill from pin) | Locations | Shift | Hours/Week | Benefits? | New Job | New Pay | Reason(s) for leaving | Leave_Comments____________________ | Reconsider for: | Stay_Comments______________________ | Shirts Returned? | Shirt Returned to: | Keys Returned? | Keys Returned to: |
