Educational Leadership Workshop Leave of Absence Form
Submit your request for a leave of absence from the educational leadership workshop. Please complete all required sections for processing.
Applicant Full Name
*
First Name
Last Name
Applicant Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Position/Title
*
Department/Organization
*
Workshop/Session Title
*
Workshop Dates (Start and End)
*
Date(s) of Leave Requested
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leave of Absence
*
Supervisor/Approver Full Name
*
First Name
Last Name
Supervisor/Approver Email Address
*
example@example.com
Additional Comments (optional)
Signature of Applicant
*
Submit Leave Request
Submit Leave Request
Should be Empty: