Teacher/Aide Leave Request Form

Instructions

Please complete all items that apply to you. COMPLETE ONE SHEET PER REQUEST. MAY CONTAIN MUTIPLE COICES AND DAYS.

Personal Information

Please fill out all areas that apply to your position and submit the form below.

First Name:

Last Name:

Email:

Supervisor(s) name:

Personal Leave

Please complete the information below. No more than 3 days may be taken consecutively. May not be used on the day before or after a school holiday or break without advance approval from the headmaster.

Dates absent (from - to):

PS/LS - time out/time returned:

MS/US - periods out:

Name of substitute:

Sick Leave

Dates absent (from - to):

PS/LS - time out/time returned:

MS/US - periods out:

Name of substitute:

Bereavement

Dates absent (from - to):

Name of substitute:

Leave without pay

Dates absent (from - to):

PS/LS - time out/time returned:

MS/US - periods out:

Name of substitute:

Professional

Dates absent (from - to):

PS/LS - time out/time returned:

Name of substitute:

MS/US - periods out:

Jury Duty

Dates absent (from - to):

Name of substitute:

Additional Information

Please include any additional information pertaining to your leave.

Additional Information:

Plans/Attendance, etc. have been left with:

Online Forms

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Teacher/Aide Leave Request Form