Absence Request Form

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Please submit this form at least 48 hours in advance of your absence. Approval from campus administration is required. Please remember the following are considered black out days:
1. The 3 days before a school holiday
2. The 3 days after a school holiday.
3. Days scheduled for STAAR Testing
4. Professional and Staff Development Days.
5. The first and last 10 student days of the school year.
6. Days and evenings set aside for open house and other special activities.

Date(s) of Absence Requested: *

Your Name: *

Reason for Absence: *

Doctor's Appointment

Employee Illness

Family Illness

Jury Duty

Maternity Leave

Personal

Other

Please Give an Explanation of your Absence:

Amount of Time: *

Half Day A.M

Half Day P.M

Full Day

Custom Time

Required

Name of Substitute Secured: *

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