2019-2020 Short Term Leave Request
Principals may approve a Short-Term Leave (STL) of absence for an employee who needs to be absent for a short period not to exceed two hours per day. Short-Term Leave will be subject to the following conditions:

1. STL is granted on a case-by-case basis and at the sole discretion of the employee's principal;
2. STL should be requested at least one day prior to day of STL;
3. STL will not jeopardize instruction or the operation of the school;
4. STL is limited to a maximum of eight (8) hours per school year and will be taken in 30 minute to 2 hour increments; and
5. The employee will be docked 1/2 day sick leave for each occurrence over two (2) hours or eight (8) total hours for the current school year.

Mrs. Chappuis or her designee will notify you of the approval / non-approval of this request.
Email address *
First Name *
Your answer
Last Name *
Your answer
Date of STL *
MM
/
DD
/
YYYY
Reason for STL *
Your answer
Leave Time *
Your answer
Return Time *
Your answer
Total Hours *
Who will cover your class/duty? *
Your answer
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