Community Y Time Off Request
You may request time off throughout the year and every effort will be made to honor your request. Please give sufficient time for your request to be approved.

If you will need coverage, a substitute will need to be secured PRIOR to your request being approved. Please do not plan accommodations, travel or other arrangements before your request has been approved.

You will receive an email indicating your request has been received, and another with approval or denial of the requested days.

*Refer to the Employee Handbook for any clarifications

Name *
Your answer
Program Site *
Required
Requested Date (Multiple days must be requested separately) *
MM
/
DD
/
YYYY
Shift Time
Will coverage be needed?
Submit
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