Reporting Scheduled & Unscheduled Time off
Staff Member
*
Please Select
Mrs. Ipu Afoa
Mrs. Stephanie Bassett
Miss Leihana Afoa
Bro. Luke Donley
Bro. Justin Nichols
Bro. Jeremy Lumagbas
Have you taken any SICK days in the past 15 days?
*
Yes
No
If YES, please select dates:
Who did you notify?
Please Select
Pastor (for church)
Bro. Luke (for school)
Notification Method
Please Select
Phone/text
Email
Did you have any TARDY days in the past 15 days?
*
Yes
No
If Yes, please specify dates and how long:
Did you take any other time off during this period?
*
Please Select
No
Vacation
Personal Leave
Emergency Leave
Bereavement Leave
Jury Duty or Legal Leave
Other (please specify below)
If YES, please select dates
(Other, Reason)
Did you make up this time off?
*
Yes
No
N/A
If Yes, please report dates and hours worked:
Submit
Should be Empty: