BII Time Off Form
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Email *
Your Full Name
Reason for time off (sick/medical or personal)
Student Name and Grade
School Name
Date Range (start date)
MM
/
DD
/
YYYY
Date range (end date - only applicable if taking multiple days off)
MM
/
DD
/
YYYY
If you are taking a partial date off, then fill out the start date above and include the hours requested off below:
Do you want to use your sick time (if applicable/already accrued)?
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