Teacher Leave Request Form

Teacher Leave Request Form

Harford Christian School
Name *

First Name Last 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.

Month Day Year
Ending date you are requesting leave.

Month Day Year
Beginning date leave is for:

All day Partial day
Exact time you are leaving .

Hour Minutes

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

Yes No
Type of leave you are requesting.

Liberal Sick Personal Other
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