OUTSIDE EMPLOYMENT

EL PORTAL POLICE DEPARTMENT 500 Northeast 87th Street El Portal, Florida 33138-3517 Telephone: (305) 795-7870 Fax: (305) 795-7877 Eugene Morales Chief of Police REQUEST FOR OUTSIDE EMPLOYMENT Employee’s Name:______________________________________________________________ Employee I.D.#:___________________________ Name of Company/Organization for Proposed Outside Employment:____________________________________________________ Location of Proposed Outside:_____________________________________________________ Work Schedule of Proposed Outside Employment: _____________________________________ Total Hours Per Week for Proposed Outside Employment:___________________________ Work Schedule_________________________________________________________________ Will your proposed outside employer release you if and when you are called for emergency service by the County? Yes_____ No_____ ____________________________________________________ Employee’s Signature Date ____________________________________________________ Immediate Supervisor’s Signature Date Yes_____ No_____ ____________________________________________________ Chief of Police’s Signature Date Yes_____ No_____ ____________________________________________________ Village Manager’s Signature Date Yes_____ No_____ Page 1 of 1