Social Services Educational Leave of Absence Form
Request and approval form for employees seeking an educational leave within social services.
Employee Full Name
*
First Name
Last Name
Employee Position/Title
*
Department/Unit
*
Employee Email Address
*
example@example.com
Employee Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Educational Activity
*
Please Select
Workshop
Seminar
Conference
Academic Course
Certification Program
Other
Course or Program Title
*
Institution or Organizer Name
*
Educational Leave Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Educational Leave End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Educational Leave Request
*
Attach Supporting Documents (e.g., acceptance letter, program brochure)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Supervisor/Manager Name
*
Supervisor/Manager Email
*
example@example.com
Supervisor Comments or Recommendation
Submit Educational Leave Request
Should be Empty: