Faculty/Staff Absence Request Form
Please submit this form as soon as possible for all scheduled and unscheduled absences. The employee is responsible for verifying that scheduled absences do not conflict with scheduled staff meetings.
Name
*
First Name
Last Name
Date of Absences:
*
Duration of Absence
*
Half Day
Full Day
Other
Reason for Absence
*
Professional
Personal
Illness
Vacation (Office Staff only)
Bereavement
Please select one:
*
Upper School Staff
Elementary School Staff
Office Staff
Administrator
If illness, please explain:
If professional, please explain:
Time missed (if less than 1/2 day):
Substitute Name (for all 1/2 and full day absences):
By signing this I have verified that the dates I am requesting off do not conflict with a scheduled staff meeting. If the date(s) requested do conflict with a scheduled staff meeting please reach out to your direct report.
*
Date
*
-
Month
-
Day
Year
Date
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Should be Empty: