Your Full Name (required)
School Email (Required)
Department (required) ---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) ---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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