Staff Absence Jot Form
2026-2027
Full Name
*
First Name
Last Name
Phone
*
-
Area Code
Phone Number
E-mail
*
Employee ID Number
*
Appraiser
*
Gabriel Cabral
Tyrone Davis
Ardelia Ford
Diana Hoy
Jacqueline Tellez-Jack
Ann Mayfield
Jay Phillips
Sarah Rioux
Helen Tran
Erika Williams
Edith Gonzalez
Raul Ordaz
Jimmie Smith
Starting Day and Time
*
-
Month
-
Day
Year
Date Picker Icon
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11
12
:
Hour
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05
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15
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45
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55
Minutes
AM
PM
AM/PM Option
Ending Day and Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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2
3
4
5
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9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
For Teachers Only: Notes for or regarding substitute teacher:
If your absence is for Off Campus Duty: Please check the box to attest you have obtained the required pre-approval from the Dean of Instruction.
Off Campus Duty Approved.
Notes for regarding Off Campus Duty:
You must fill out the reasons otherwise the Absent Request will not be approved.
Before you submit this form: Please note you must also enter your leave time in One Source.
Submit
Should be Empty: