Leave Request Form
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Email *
Employee Name: *
Today's Date: *
MM
/
DD
/
YYYY
Type of Leave: *
Date(s) of Leave: *
Length of Leave *
Time of Day *
Reason for Request:
Courses to be covered: *
Required
Signature of Employee: *
By entering my name, I agree that this is equivalent to my handwritten signature.
ADMINISTRATION AUTHORIZATION SECTION
Supervisor or Principal Authorization
Comments:
Supervisor/Principal Signature:
Superintendent Authorization
Comments:
Superintendent Signature:
A copy of your responses will be emailed to the address you provided.
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