Absence Request Form
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Email *
First Name *
Last Name *
Please indicate your position *
First day of absence *
MM
/
DD
/
YYYY
Last day of absence *
MM
/
DD
/
YYYY
What day of the week are you requesting off? *
Required
What are you requesting? *
If it is a partial day request, please share the approximate time you will arrive or depart. 
Type of Leave: *
Carmen and Gina contacted? *
A copy of your responses will be emailed to the address you provided.
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