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Personal Leave Request
1. REQUEST FOR PERSONAL LEAVE
I Name
Request: One full day One-half day a.m. One-half day p.m. of Personal
Leave on Select Month , Select Year to conduct business of a personal
nature that cannot be conducted outside of school hours or on a non-school
day.
If a substitute is needed, please indicate below:
YES, I need a substitute. Full Day A.M. Only P.M. Only Other (explain)
Explanation for Other:
________________________________
(Principal - Signature)
________________________________
(Approval – Superintendent)
THIS LEAVE CANNOT BE USED TO EXTEND VACATION PERIODS, NOR CAN IT
BE USED IMMEDIATELY PRIOR TO OR IMMEDIATELY FOLLOWING A LEGAL
SCHOOL HOLIDAY.
Days available at beginning of school year _________
Days applied for/used this year_________
Days remaining________
1 – District Office
2 – Principal
3 – Employee
Forms/pmh 4/06