THETFORD ACADEMY EMPLOYEE ABSENCE REQUEST/APPROVAL

EMPLOYEE ABSENCE REQUEST/APPROVAL
YOUR NAME:*

First NameLast Name
TODAY'S DATE:*

MonthDayYear
ABSENCE START DATE:*

MonthDayYear
ABSENCE END DATE:*

MonthDayYear
ABSENCE TYPE:*
TOTAL NUMBER OF HOURS ABSENT:*
ANY ADDITIONAL INFORMATION:
DO YOU REQUIRE A SUBSTITUTE?

Yes, I doNo, I do not
Enter parking space number below:
CHECK BLOCK(S) REQUIRING COVERAGE, & NAME OF COURSE:

	X	CLASS/COURSE
A BLOCK
A-1 BLOCK
A-2 BLOCK
B BLOCK
B-1 BLOCK
B-2 BLOCK
POWER HOUR

	X	CLASS/COURSE
C BLOCK
C-1 BLOCK
C-2 BLOCK
D BLOCK
D-1 BLOCK
D-2 BLOCK

Please leave info. for sub: Attendance for all classes, including advisory, bell schedule, & lesson plans
Your Supervisor:*
Please select your supervisor's email address
Supervisor Approval:*
Please Approve or Deny this Request
Should be Empty: