Employee Absence Request Absence Request Name* First Last Email* Under Which Entity Are You Classified?*ElementarySecondaryDistrictDate You'll Be Gone* Date Format: MM slash DD slash YYYY Last Day You'll Be Gone if More Than One Day Date Format: MM slash DD slash YYYY How Long Will Your Absence Be?*Full Day1/2 Day A.M.1/2 Day P.M.Will You Need a Substitute?*YesNoWhen will you need a sub? Full Day Half Day AM (Elementary) Half Day PM (Elementary) 1st Period (Secondary) 2nd Period (Secondary) 3rd Period (Secondary) 4th Period (Secondary) 5th Period (Secondary) 6th Period (Secondary) 7th Period (Secondary) 8th Period (Secondary) RTI (Secondary) Reason For Absence*Please Choose OnePersonal IllnessFamily IllnessPersonal BusinessWorkshop / MeetingSchool Related AbsenceFuneralJury DutyOtherComp TimePersonal Illness -- Attach a doctor's note if over 5 days Drop files here or Family Illness -- Relationship to YouFuneral -- Please list the relationship to youPersonal BusinessRequires advance approval. May not be taken for more than 5 consecutive days.I have obtained verbal permission from my supervisor.I have not obtained verbal permission from my supervisor.Jury DutySummons or certificate must be attached. Drop files here or Workshop / MeetingPlease List the Title, Location, and Purpose of the Workshop or MeetingSubmit Conference Verification or Receipt Drop files here or Comp TimeRequires advance approval. I have obtained verbal permission from my supervisor.I have not obtained verbal permission from my supervisor.Please list the school related event:Please list the reason.