WSU TRI-CITIES CAMPUS ACCESS DURING COVID-19

Please fill out the form below

Your direct supervisor will approve your telework assignment. The WSU Tri-Cities Incident Commander (Ray White) will approve or deny your request to come to campus during this time.

Employee Name

Employee Email

Telework Phone Number

If you forwarded your phone please indicate this here

Job Title

Department

Supervisor email

Which administrator does your department report to at WSUTC?

Anna Plemons (aplemons@wsu.edu)

Kate McAteer (kmcateer@wsu.edu)

Ray White (ray.white@wsu.edu)

Sandra Haynes (sandra.haynes@wsu.edu)

Are you requesting access to campus during this work from home directive?

If you are not requesting campus access skip to the next section regarding the equipment you have taken home

Yes

What dates are you requesting to be on campus?

Please be specific (Examples: 7/1-7/4 or Tuesdays from 7/1 - 7/31)

What buildings and rooms are you requesting to be in campus?

What are the approximate hours of the day you are requesting to be on campus?

Example: 8am-9am, 12pm-3pm

Why are you requesting access to campus during this time?

Be specific

Comply with policies

I also understand that I must check in with security (372-7698) upon entering any building at WSU Tri-Cities EACH time I come to campus. I also understand that approval for this request ONLY pertains to the parameters specified in this request.

Upload any documents needed to support this request

Drop your files here

Send me a copy of my responses

Report Abuse