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Staff Day Off Request Form
Name
(Required)
First
Last
Email
(Required)
Date You Are Requesting Off
(Required)
MM slash DD slash YYYY
Type of Day Off
(Required)
Sick Day
Personal Day
Professional Development
Jury Duty
Bereavement
Other
Will you need a sub?
(Required)
Yes
No
How much time off are you requesting?
(Required)
Please choose one
2 hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
Please provide any relevant details regarding your day off request.
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