Leave Request Form

Wendell School District #232

Leave Request Form
Name

First NameLast Name
Todays Date

MonthDayYear
Date Leaving

MonthDayYear
Days Gone
Supervisor
Leave Type
Comments:
Employee Signature
By checking this box I agree my electronic signature is the legal equivalent of my manual signature on this Agreement
The following is for administrative use only.
Supervisor Signature
Supervisor Code
Approved
Supervisor/Superintendent must fill in their code and select yes or no in the "Approved" field.
Superintendent Signature
Superintendent Code
Approved
FormName
Should be Empty:

Wendell School District #232