Leave Request Form
Email address *
Employee Name: *
Your answer
Today's Date: *
MM
/
DD
/
YYYY
Type of Leave: *
Date(s) of Leave: *
Your answer
Length of Leave
Time of Day *
Where will your lesson plans be located? *
Your answer
Reason for Request:
Your answer
Hours to be covered: *
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
Comments:
Your answer
Supervisor/Principal Signature:
Your answer
Superintendent Authorization
Comments:
Your answer
Superintendent Signature:
Your answer
A copy of your responses will be emailed to the address you provided.
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