Leave Early/Late Arrival Request Form

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P721Q John F. Kennedy Jr. School

Email *

Name: *

Date Requested: *

YYYY

Which of the following do you need to request? *

Late Arrival

Leave Early

Required

Time Requesting to Leave/Arrive: *

Time

Reason for request (Please be specific): *

Accident and/or Incident Report completed and submitted? *

Yes

Not Applicable

By checking the box below, I understand that an administrator must APPROVE or REJECT my request. I understand I will receive an email with the response. I understand that time will be deducted from my CAR. I understand if it is not an emergency, I must submit this request at least 3 days prior to the time requested. *

Agree

Required

A copy of your responses will be emailed to the address you provided.

Submit

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