Teacher Leave Request Form

Teacher Leave Request Form

Harford Christian School
Name*

First NameLast Name
Email*
example@example.com
Home/Cell Phone Number*
Please enter a valid phone number.
Please choose one option:

I am requesting leave for one day or several individual dates.I am requesting leave for several days in a row.

Several Days in a Row
Beginning date you are requesting leave.

MonthDayYear
Ending date you are requesting leave.

MonthDayYear
Beginning date leave is for:

All dayPartial day
Exact time you are leaving .

Hour Minutes

AM/PM Option
Do you need a substitute while you are gone?

YesNo
Type of leave you are requesting.

LiberalSickPersonalOther
Reason why you are requesting leave.
Administration reserves the right to reclassify leave categories.
Special Notes:

* I will do my best to accomodate your substitute request. Please know that it is very difficult to accomodate requests that are not submitted 2 weeks prior to the date you are requesting a substitute. The submission of this form does not mean that your request will be granted. I will contact you as soon as I am able.

Thank You,

Susie Williams
Should be Empty:

Several Days in a Row