Peer Support Program Slip
The Peer Support Program is designed to foster a supportive work environment, encouraging open communication and teamwork among employees. If you're facing challenges or just need someone to talk to, our Peer Support Program is here for you.
Personal Information
Field | Input |
Employee Name: | [Your Name Here] |
Employee ID: | [Your Employee ID Here] |
Department: | [Your Department Here] |
Contact Information: | [Your Contact Information] |
Date: | [Today's Date] |
Program Selection
I wish to:
Please indicate your preference by checking the appropriate box.
Preferred Time and Date
Preference | Input |
Preferred Time: | |
Preferred Date: | |
Reason for Contact (Optional)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Employee Signature: ________________________ Date: ____________________
To be completed by HR
Field | Input |
Received by: | |
Position: | |
Date: | |
Please return this form to the Human Resources department or send it via email to [Company Email]. Thank you for participating in the Peer Support Program.
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