Leave Request Form
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Employee Name:
*
Your answer
Today's Date:
*
MM
/
DD
/
YYYY
Type of Leave:
*
Choose
Administrative
Coaching
Department Chair
Emergency
Funeral
IEP
ISS
Personal
Professional
Sick
Special
Vacation
Quarantined - work from home
Quarantined - sub needed
Date(s) of Leave:
*
Your answer
Length of Leave
*
Choose
1/2 Day
Full Day
Time of Day
*
Choose
AM
PM
All Day
Reason for Request:
Your answer
Courses to be covered:
*
1
2
3
4
5
6
7
8
Lunch & Learn A
Lunch & Learn B
No Sub Required
Required
Signature of Employee:
*
By entering my name, I agree that this is equivalent to my handwritten signature.
Your answer
ADMINISTRATION AUTHORIZATION SECTION
Supervisor or Principal Authorization
Approved
Denied
Comments:
Your answer
Supervisor/Principal Signature:
Your answer
Superintendent Authorization
Approved
Denied
Comments:
Your answer
Superintendent Signature:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Waterford Union High School.
Report Abuse
Forms
