Imhotep Staff Absence Form
Use this form to request or confirm time off from work. If you are a classroom teacher make sure you have sent your emergency lesson plan to Sister Carla (cpitt@imhotepcharter.org) AND Brother Andre (anoble@imhotepcharter.org)
Email address *
Name *
Start Date:
Use the Drop downs to select the start date of your expected absence.
Month *
Month
Day *
Month
Year *
Year
End Date:
Use the Drop downs to select the end date of your expected absence.
Month *
Month
Day *
Month
Year *
Year
Select the type of absence you are reporting. *
If you selected other, please describe in the space provided.
Your answer
Enter the number of days requested.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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