To: Component Head

From: Deputy DAEO

____________, _____________, is requesting permission to engage in outside employment on a part-time basis with ______________. Mr. ________'s duties will involve _____________________.
Mr. ________'s supervisor has no objections with him engaging in this outside employment. Mr. ________ has been advised of the rules regarding outside activities, including the use of government property and official time.

I recommend that you approve this request.
 

APPROVE: ____________
 

DISAPPROVE: ____________
 
 
 

________________                                    __________
   Component Head                                             Date