Time Off Request Form

When you will be missing a shift, please fill out the form below. Teachers will need to send a detailed outline and lesson plan to the substitute and to the Director.

If you will be gone for more than one day, fill out the form for each day.

Instructor Name

First Name

Last Name

Date Requesting off

YYYY

Start Time

Hour

Minute

Second

End Time

Hour

Minute

Second

Classes you are missing:

Reason for missing work:

Name of substitute:

First Name

Last Name

Phone of substitute:

Who is filling out this form?

Myself

Office