EMPLOYEE ABSENCE
LAST Name
*
FIRST Name
*
Position
*
Throop Assistant or Office Staff or Tech
Throop Cafeteria
Throop Custodian
Throop Teacher, Admin, Other Certified
Jr-Sr High Assistant or Office Staff or Tech
Jr-Sr High Cafeteria
Jr-Sr High Custodian
Jr-Sr High Teacher, Admin, Other Certified
Custodial or Maintenance
Supt Office
SCASEC SHARED
Date of Absence(s)
*
Date(s) of Absence(s)
*
Specify any of the above dates if Half AM or Half PM
Leave this blank if absences are full days
Type of Absence
*
Please Select
Leave (any reason) from Annual Allotment
Sick from Accumulated
Family Illness from Accumulated
Bereavement
Prof. Development, Conference(s), Meeting or Field Trip
Jury Duty
Holiday
Vacation
LOST TIME (NO PAY)
Specify Relation
*
(For Family Illness or Bereavement)
Name of PD, Meeting or Field Trip (must be pre-approved)
*
Signature
*
DISTRIBUTION (Corp Use Only)
Email
example@example.com
Sub $ Amount
To receive an emailed copy of your request, include your email address
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