St. Mary's Staff Absence Form
Please use this form to report your absence and substitute information.
Name
First Name
Last Name
Absence Starting Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Absence Ending Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Absence
Sick
Family Illness
Vacation
Personal Time
Family Death
Jury Duty
Professional Development
Other
Has substitute been secured?
yes
no
Substitute Name:
Confirmed by:
Phone
Text
Email
Other
Classroom preparation and lesson plans have been:
Shared electronically
Printed
Will be completed before absence
Lesson plan location:
Important Information for Substitute:
Additional Comments/Notes:
Signature
Continue
Continue
Should be Empty: