Absence Request - Other Than Sick 3
Full Name
*
First Name
Last Name
E-mail
*
Location
*
Elementary
Upper Elementary
Middle School
High School
Support
Start Date
*
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Length
*
All Day
1/2 Day (AM)
1/2 Day (PM)
Reason for Absence
*
Personal
Bereavement
Professional
Jury Duty
Vacation (12 month support personnel only)
Note: If you selected "Professional" above, you must answer this question. This absence is necessary for a reason which is permitted under the certified policy handbook established by the Board of Education, I-031. The specific reason is:
By checking the box and entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
*
I agree to this statement.
Initials
*
Submit
Approval decision for request (Principals Only)
Principal Pass Code
Principal Approval Status
*
Approved
Denied
If denied, reason for denial
Approval decision for request (Superintendent Only)
Superintendent Pass Code
Superintendent Approval Status
*
Approved
Denied
If denied, reason for denial
Should be Empty: