Module 4 · Workplace Rights, Systems & Self-Advocacy
Worksheet 4.5 — Professional Request Planner
Draft a real or hypothetical professional request.
Name: ______________________________
Date: ______________________
Situation → Facts → Need → Request → Follow-Up
- Situation & Facts — Describe briefly; list relevant facts.
- Need — State exactly what you need.
- Request & Follow-Up — Make a specific ask; confirm follow-up.
Scenario: Needing a Shift Swap
- Situation: Medical appointment conflicts with Tuesday shift
- Request: Swap Tuesday for Thursday this week only
- Follow-up: Confirm by end of day Friday