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2025-2026 Leave Request
Sub Plans must be on your desk
* Indicates required question
Email
*
Record my email address with my response
Name:
*
Your answer
Day Submitting Request:
*
MM
/
DD
/
YYYY
Day taking off
*
MM
/
DD
/
YYYY
Time off end date (multiple days)
Your answer
AM/ PM/ Full day
*
AM
PM
Full day
Type of Leave
*
Sick
Personal (Multiple Fridays off may not be approved)
Jury
Workshop/ Athletic event/ Student Event
Reason for Leave
Your answer
A copy of your responses will be emailed to .
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