ARISE Academy PTO Request Form

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Use this form to document any leave requests or sick time taken. Submission of this initiates but does not authorize a leave request.

Name *

Start Date Requested *

YYYY

Start Time Requested *

Time

End Date Requested *

YYYY

End Time Requested *

Time

Have you discussed this PTO request with your direct manager? *

(If the answer is no to this question, please touch base with your manager before completing this form)

Yes

Message to supervisor *

Email Address (for confirmation email)

Submit

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