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City of Il <br />RAMSEY <br />Public Works School Request <br />Employee Name: <br />Date of request: <br />School or Course to be attended (include name and description): <br />Department: <br />Do you need this course work to "level up" in the Career Development Program?: YES NO <br />Do you need this course work to maintain a current license or other level requirement?: YES NO <br />Which level are you currently at? II III IV <br />Cost of course work: <br />Time commitment of course work (Days, Hours, or Credits): <br />Date(s) of courses: <br />Is this course during working hours? YES NO <br />Deadline date for registration: <br />This course work is: APPROVED DENIED <br />Reason: <br />Supervisor signature: Superintendent signature: <br />Fill out after course work completed: <br />Date of completion: Circle one: PASS / FAIL Letter grade: <br />Processed for payment: Date employee reimbursed: <br />18 <br />