Employee Absence Request Form Employee Absence Request Form Employee Absence Request Form Complete one form for each day you are requesting to be absent. Name * Name First First Last Last Your Email Address * AlexTaylor@littleschoolofmusic.comArmandoWood@littleschoolofmusic.comBriannaMarra@littleschoolofmusic.comElenaChao@littleschoolofmusic.comFrankBrowne@littleschoolofmusic.comJeanDeMart@littleschoolofmusic.comJohnMoore@littleschoolofmusic.comJustinHaase@littleschoolofmusic.comMattFullove@LittleSchoolofMusic.comMindy@littleschoolofmusic.comRichBrown@littleschoolofmusic.comRoxanneFernandez@LittleSchoolofMusic.comStevePoloni@littleschoolofmusic.comSumitraNanjundan@littleschoolofmusic.com Requested Day * Day of the Week * MondayTuesdayWednesdayThursdayFridaySaturday Start Time * 121234567891011 : 00153045 AMPM End Time * 121234567891011 : 00153045 AMPM Reason for Absence * Medical/SickFamily EmergencyFamily Reunion/WeddingRehearsalPerformance/GigVacationAttending a ConcertSchool/College FunctionCall/Text to OfficeOther (describe below) Other Absence Notes * Include specific notification day/time and reason for absence. I understand this is a request only and must be approved by the administration. If another teacher is not available to cover the teaching schedule, the request will be declined unless due to illness/medical reason. If approved, I will complete the “/student-info-and-lesson-notes” for each student so the teacher covering the lessons has sufficient time to prepare on my behalf. * I have read, understand, and agree. Signature * signature keyboard Clear Submit If you are human, leave this field blank.