@ i, HUSTON AIRPORTSYSTEM AUTHORIZATION TO CONTRACT AND ENGAGE IN OUTSIDE EMPLOYMENT Employee Name SOom ABAswNoL Employes # WAH 2 Present Job Classification <<. aye co Oe & Hire Date__ 41.4 Department ASS Division Yo\ai-\n@'> OFF Section Immediate Supervisor Cyc KY CAS Job Title Dv CTO Current job duties Comownce iu OUTSIDE EMPLOYMENT (Any income Producing Activity) _____ Outside Employment Z Self-employed/business ownership Rules Governing Outside Employment Employees will make the City of Houston their main vocational interest. Before accepting any before or after-hours job, approval must fist be ‘obtained from the curent department director. Employees cannot engage in any business or professionel activity that might tendo impair independence of judgment in the discharge of their oficial duties. Employer WS BON (5.86 Maling Address Oty Telephone Sima Full Name & Title of Immediate Supervisor. 1 Working hours: m amipm, AMET) Joa dy Tine _ Normal working days (cic a days atopy): (Sa Git Mon (Tue) Wed thurs) Fri Does this company have a contract or business Tonship with the City of Houston? “No __ Yes. yes, ‘state nature of relationship: —= EMPLOYEE AGREEMENT | understand tat the Cty of Houston does not wish oreguate my time ouside working hours, and that my job with the itis my st responsibilty. ‘My outside employment shalin no way conflict or compete fr my energy, mental, or physical with my City jo nor shall trea confit between th publ trust eld by me in my capacty as an employee with te Cty of Houston and the Houston Airport Systm. | understand my failure to be truthful on ths form may result my termination as an employee. | also understand tis my responsibly to complete anew request each year sr tots harsh betes erp fy - 4 O\. D107 AUTHORIZATION FOR OUTSIDE EMPLOYMENT Your request for outside employment as stated above is: "Approved ___ Disapproved. Reason(s) or NOT approving request: Ya dispute arises, forward this form tothe Human Resources Office with your ECRP form in accordance with the Grievance Procedure. Supervisory Acknowledgment 7 Date ban ofa Director's Signature Date ‘Anew request for outside employment must be submitid no later than Januar 31, of each calendar year. The original wil be maintained Inthe ‘employee's department personnel le and a copy given tothe employee.