PVPA Leave Request Form 2016-17
Use this form to request leave in advance of a day's absence.

IF IT IS AFTER 3:30 p.m. and you are requesting leave for the FOLLOWING SCHOOL DAY, you must call the Absentee Hotline at 413-575-0742.

IF IT IS AFTER 8:00 a.m. and you are requesting leave for the SAME SCHOOL DAY, you must contact the main office (x112).

Reminder: E-mail substitute lesson plans to substitute@pvpa.org.

*** TO REQUEST LEAVE OF ABSENCE, MATERNITY/PATERNITY, OR MILITARY DUTY LEAVE, PLEASE CONTACT THE BUSINESS OFFICE.***

Email address
Name
Your answer
Last Name
Your answer
Date
Please, submit a separate Leave Request for each day or time out.
MM
/
DD
/
YYYY
Personal Leave
Professional Leave
Please, include name of supervisor, short description of Leave Request, and any notes about funding needed in "Special Notes" field found in the next page.
Administrative Staff or Faculty?
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