Time-Off Request
Your name
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
Today's Date
Your Email
*
example@example.com
Ministry/Department
Please Select
Adult Ministry
Family Ministry
Worship/Production Ministry
Administrative/Facilities
Finance
Supervisor
*
Please Select
Matt Bramlett
Quinn Banister
Cody Turner
Ashley James
Aaron Gregory
Tom Francis
Felipe Cuellar
Kirt Dauphin
Leave Type
*
Please Select
PTO (Vacation/Sick/Personal)
Bereavement
Jury Duty/Court Summons
Other
Please choose which type of leave you are taking
From
*
/
Month
/
Day
Year
Start Date
To
*
/
Month
/
Day
Year
End Date
Unique Submission field
This field is automatically filled to prevent duplicate submissions
Pay Type
Hourly
Salary
Total Time-Off (hours)
*
Enter the total number of hours being taken
Please Select One
*
Hours
Days
Total Time-Off (days)
Enter the total number of days being taken
Reason/Comments
*
If applicable, please describe the reasons for your leave in further detail
Submit
Should be Empty: