Time Off Request Form
Requests for time off must be submitted at least two weeks prior to submitted time off date(s). All submissions are requests and are subject to be denied if we are unable to get your class covered.
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Start Date
*
-
Month
-
Day
Year
Please enter the first day you will not be able to work work your scheduled classes.
End Date
-
Month
-
Day
Year
Please enter the last day you will not be able to work your scheduled classes.
Reason
*
Please Select
Vacation
Personal Day
School
Other
Additional Comments
*
Please indicate here if you are unavailable for the entire duration or at a certain time. Also please add anything else we should know regarding your request. This will help us make a better decision regarding accepting or denying your request.
Submit
Should be Empty: