Employee Absence Request Form

Complete one form for each day you are requesting to be absent.

Name

First

Last

Your Email Address

Requested Day

Day of the Week

Start Time

End Time

Reason for Absence

Other

Absence Notes

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

Clear