Part A

Work Request Order Form

NSCC, Burridge Campus
Faculty/Staff Name: Email:
Department: Room:
Phone Ext: Today’s Date:
Date Task Completion Required:
Job Description (please indicate clearly your task):
Copying:
o  Stapled
o  Single sided o Delivered to Room ______
o  Double sided (duplex) o 3-hole punch
o  Colored paper ______
o  8.5 x 14 (legal)
Specific Instructions (list below) – Other jobs (Book Binding, Laminating, Faxing, Typing, Phone calls, Scanning, etc.

Please fill out Part A and submit to the SPOT where it will be prioritized. When your job is completed, a student will contact you via email or by telephone for pick up.

This document will be returned to you, and we ask that you provide feedback found in Part B (Side 2) and return the same to the SPOT or Alice Cleveland’s mailbox.

Disclaimer: Please be advised that students will be fulfilling your work request. The project you have provided will give the student(s) an opportunity to satisfy a skill requirement and increase their office experience.

Thank you for your business!

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Part B

Your Feedback regarding the completion of this work is appreciated!

Was this job performed to your specifications? Poor 1 2 3 4 5 Excellent

Was this job performed to your satisfaction? Poor 1 2 3 4 5 Excellent

Additional Comments:

Part C - For office use only:

Products Used:

Quantity / Description / Unit Price / Total

Job Completed by: Date Completed:

______

______

Student Comments: