Leave Request Form

Leave Request Form

Filling out this form does not guarantee approval. Please wait for a follow up email from noreply@jotform.com for approval.
Name

First NameLast Name
Email
example@example.com
Department that this leave will affect. (Check all they Apply)

Lower SchoolUpper SchoolPre SchoolFacilitiesAdministrationSUMMER DAY CAMP/ KIDDIE CAMP
Please Note - No personal days will be acccepted on the day before or the day after School Breaks: Christmas break, thanksgiving break, and Spring break.
What Type of leave are you requesting -

Personal TimeProfessional DaySick LeaveI am an hourly employee- use this for all types if you are hourlyIn School ActivityVacation
Please explain what what in school activity?
**For personal days and professional days please allow three business days in order for us to find coverage**
Date / Time Leave Will Begin*

MonthDayYear
Date
Hour MinutesAM/PM Option
Date/ Time Leave Will End

MonthDayYear
Date
Hour MinutesAM/PM Option
What Classes need to be covered? If you are a Enrichment Teacher or Secondary teacher please give times or periods and subjects to be covered. For example 5R Art 11-11:30 or 5th period 8th grade boys bible.
If you have your sub plans please upload them here. If not please email them as per your departments policies for sub plans. Please note if this is a planned ahead absence make your own copies for items needed and leave them in a predetermined place for your sub. (IE your mailbox or on the desk of the room they are teaching in.)

Cancelof
*****Note: sick leave should also be communicated directly with your day of call out via phone or text message per your departments guidelines******

In school activity is defined as an activity or field trip where you are acting in your professional capacity. For example a teacher taking a group on a Field trip but needs their other classes covered. This does not count against your professional or personal days.
Should be Empty: