Leave Request Form
* Required
Email address
*
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
SOAR
Special
Vacation
Youth Frontier
Date(s) of Leave:
*
Your answer
Length of Leave
Choose
1/2 Day
Full Day
Time of Day
*
Choose
AM
PM
All Day
Where will your lesson plans be located?
*
Your answer
Reason for Request:
Your answer
Hours to be covered:
*
1
2
3
4
5A
5B
5C
6
7
8
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
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Waterford Union High School.
Report Abuse
Forms
