Instructional Leave Request Form

This form needs to be completed by any employee requesting leave and submitted for approval by the employee's supervising administrator.

Employee Name
Employee Email
Please select your department administrator or supervisor.
Date(s) of Leave Requested
Choose One:

Choose One: Full Day Half Day - A.M. Half Day - P.M. Comp Time (Number of Hours) Comp Time (Number of Hours)
Substitute Needed:

Substitute Needed: Yes No
Reason:

Reason: Beat the Bus Pass Comp Time Field Trip* (complete location/time info below) Inservice - in county* (complete location/time info below) Personal Sick/Medical Temporary Duty - out of county and in county (complete location/time info below) Vacation (251 employees only)
*Location
*Time Leaving
*Time Returning
UPLOAD LESSONPLANS

Attach Files
Additional Information