ESL Time Off Request Form
Submit your time off request for review and approval. Please complete all required fields accurately.
Employee Full Name
*
First Name
Last Name
Employee Email Address
*
example@example.com
Department
*
Please Select
Teaching
Administration
Support
Other
Type of Leave
*
Vacation
Personal
Sick
Unpaid
Other
Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Number of Days Requested
*
Reason for Time Off
*
Coverage or Backup Plan During Absence
*
Supervisor or Manager Name
*
Submit Request
Should be Empty: