EMPLOYEE ABSENCE
LAST Name
*
FIRST Name
*
Position
*
Throop Assistant or Office Staff
Throop Cafeteria
Throop Custodian
Throop Teacher, Admin, Other Certified
Jr-Sr High Assistant or Office Staff
Jr-Sr High Cafeteria
Jr-Sr High Custodian
Jr-Sr High Teacher, Admin, Other Certified
Custodial or Maintenance
Supt Office, Tech
SCASEC SHARED
Date(s) of Absence(s)
*
Date 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
*
Leave (any reason) from Annual Allotment
Sick from Accumulated
Family Illness from Accumulated
Bereavement
Prof. Development, Conference(s), Meeting or Field Trip
Jury Duty
Vacation
LOST TIME (NO PAY)
Specify Relation
*
(For Family Illness or Bereavement)
Name of PD, Meeting or Field Trip (must be pre-approved)
*
Signature
*
Clear
DISTRIBUTION (Corp Use Only)
Sub $ Amount
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