BRCPS Date/Time Request Off Form
Please complete the following form to request time off. Your respective Director/Supervisor will review the request and email you with approval/denial for the time requested off.

If you are requesting time off within 24 hour window, please be sure to contact your Director/Supervisor. Thank you!

Mrs. Lueken, Lower School Director/Supervisor
Mrs. Assiraj, Upper School Director/Supervisor
Ms. Copeland, USS Director/Supervisor

Email address *
Time Requested *
Department *
Employee Name *
Your answer
Start Date Requested *
MM
/
DD
/
YYYY
End Date Requested *
MM
/
DD
/
YYYY
For Late Arrival Only- time requesting to arrive
Time
:
For Early Release Only- time requesting to leave
Time
:
Coverage Required (Late Arrival or Early Release)
If NO for coverage required, who will provide coverage?
Your answer
Comments: Please add anything relevant to your request for Directors to consider for approval.
Your answer
Submit
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