First Name *

Last Name *

Email *

Phone *

I am completing this form for the following direct report: *

I understand that serving on a case is an 8-15 hour total time commitment that varies case-by-case and often requires engagement at different times across multiple months. I agree to support my direct report's involvement. *
- Select Option Yes No

I understand that my direct report will receive a stipend for this service, and I will need to approve this stipend as a Workday task when service is completed. The funds come from the Office of Civil Rights and Title IX. *
- Select Option Yes No

Do you have any questions at this time?