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Staff Time-Off Request
"
*
" indicates required fields
Absence Date
*
MM slash DD slash YYYY
Staff Member Requesting Absence
*
Staff Email
*
Absence Type
*
Please select which category your absence is for.
Family Medical Leave
Personal Medical Leave
Personal Leave
Professional Development
Bereavement Leave
Is absence multiple days?
*
Yes
No
Absence End Date
*
If multiple days, this is the last day being requested off.
MM slash DD slash YYYY
Is coverage needed for this absence?
*
Please select if a sub is required for your absence.
Yes
No
Please select which blocks need coverage:
*
First Block
Second Block
Third Block
Fourth Block
Fifth Block
Sixth Block
Select All
Notes (optional)
Please list any notes for this absence.
Sub Plans
Please upload sub-plans.
Drop files here or
Select files
Max. file size: 64 MB.
Attendance Sheets
Please upload attendance sheets for your classes.
Drop files here or
Select files
Max. file size: 64 MB.
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