Staff Professional Leave Day Request

Specific Location & Purpose of Conference, Meeting or PD*
Specify the Relationship (bereavement)*
Is a Substitute Needed?*
Will there be ANY costs to the school/district related to this request? (Ex. Mileage, Registration, Meals, Lodging, etc)*

YESNO costs and no reimbursement request

If unfamiliar with the Scott 2 Guidelines for paid or reimbursed expenses and there is any chance of expenses for which you may seek reimbursement, review the following guidelines prior to continuing:

EXPENSE GUIDELINES FOR PROFESSIONAL LEAVE

(Auto-Calculated) TOTAL Expected Cost*
Total reflects amounts inserted in Expected Costs categories
Provide any additional information about costs, if needed
Staff Signature*

Clear
PRINCIPAL or DIRECTOR APPROVAL SECTION
APPROVED or NOT APPROVED?*

APPROVED (Pending Supt Approval)NOT APPROVED
Principal or Director Name*

First NameLast Name
Principal or Director Signature*

Clear
SUPERINTENDENT APPROVAL SECTION
Select below to OPEN the SUPERINTENDENT APPROVAL Section

OPEN Superintendent Approval Section
APPROVED or NOT APPROVED?*

APPROVED (Final)APPROVED Pending Board Approval (2+ consecutive work days requested)NOT APPROVED
Superintendent Signature*

Clear
SCHOOL BOARD ACTION SECTION
Select below to OPEN the SCHOOL BOARD ACTION Section

OPEN Board Action Section
BOARD ACTION*

APPROVEDNOT APPROVED
DATE OF Board Action*

MonthDayYear
Date
Email notifications are ENABLED and you will receive an emailed copy of your submission.
Should be Empty:

PRINCIPAL or DIRECTOR APPROVAL SECTION