Your Full Name (required)
School Email (Required)
Department (required) —Please choose an option—AdministrationPreschoolLower schoolMiddle SchoolUpper SchoolLibraryCafeteria/Tuck Shop
Date request Submitted (required)
Total numbers of days requested(required)
Starting Date (required)
Ending Date (required)
Expected return to work Date (required)
Type of Leave Request (required) —Please choose an option—VacationSick LeaveEarly Leave RequestBereavement LeavePersonal Leave of AbsenceOther ( explain bellow )
Additional Information
I understand that this is a request for leave. Approval is subject to eligibility verification and supervisory approval. Leave must be requested and taken in accordance with school policies
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