Perfect Attendance Bonus Application

Today's date *

My name is *

First

Last

My email address is *

I am applying for a bonus for this quarter *

Q1 - January 1 through March 31
Q2 - April 1 through June 30
Q3 - July 1 through September 30
Q4 - October 31 through December 31

I attest that I arrived on time and worked all of my scheduled shifts during this quarter, or, if not, I was able to get shifts I missed covered in advance by a co-worker. *