Request for Leave
Faculty/Staff Leave Request
Email address *
Today's Date *
MM
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DD
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YYYY
Name *
Your answer
Grade/Area *
Your answer
Begin Date of Requested Leave *
MM
/
DD
/
YYYY
End Date of Requested Leave *
MM
/
DD
/
YYYY
Number of Hours of Leave *
Your answer
Reason *
Your answer
Substitute Secured *
Your answer
A copy of your responses will be emailed to the address you provided.
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