CCSS Substitute Teacher Request Form
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number (include area code) *
Your answer
Grade Taught *
Your answer
Subject Taught *
Your answer
What day do you need a substitute teacher? (complete a new form for each day you will need a sub) *
MM
/
DD
/
YYYY
Duration *
What type of leave will be deducted? *
What school are you associated with? *
Requested substitute teacher name(s) (You may list more than one person, we will honor if possible)
Your answer
Have you already contacted AND confirmed the sub you are requesting? *
Special instructions for substitute (ex. location of sub notebook, etc.)
Your answer
Special instructions for substitute teacher coordinator
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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