VCSC School Based Employee Leave Request
This form is for employees who need to request days off. You must be signed into your VCSC Google account to submit.
Email *
Employee Last Name *
Employee First Name *
Building Assignment: *
Please choose your role in the building: *
Reason for Leave Request *
Entering Day(s) of Absence
1.) If you are gone for 1/2 or 1 day use the same date for first and last day of your absence.

2.) If taking half days Indicate in the comments which dates are half and whether they are am or pm.

3.) If you are taking days for multiple reasons please fill out a form for each reason.
Number of total days you will be absent *
First date you will be absent *
MM
/
DD
/
YYYY
Last date you will be absent *
MM
/
DD
/
YYYY
Comments: Please place any additional comments you have about your absence here. Please provide details on half days, am/pm, etc.
Employee Signature *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Vigo County School Corporation.

Does this form look suspicious? Report

Google Forms