Professional Personal Day Request Form (Yellow) - SAU 14
Professional Personal Day Request Form (Yellow) - SAU 14
Professional Personal Day Request Form (Yellow) - SAU 14
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PROFESSIONAL PERSONAL DAY REQUEST<br />
Name: ________________________________<br />
Date: __________________________<br />
I would like to request _________________________________ as a personal day.<br />
Date <strong>Request</strong>ed<br />
Action <strong>Request</strong>ed: _____________ Paid _______________ Unpaid<br />
Does date requested fall on a day prior to or immediately following a school holiday<br />
or vacation? (SUPERINTENDENT APPROVAL ONLY)***_____ Yes _____No<br />
_____________________________________<br />
Signature<br />
Per the agreement between the Epping School Board and the Epping Education<br />
Association, Article V, Section F Part 3, the request is:<br />
________________ approved<br />
______________________ not approved<br />
Reason not approved:<br />
___________ No <strong>Personal</strong> <strong>Day</strong>s<br />
__________ Insufficient notification<br />
__________<br />
Inadequate substitute coverage<br />
__________ Limit reached for days prior to or immediately following a school<br />
holiday or vacation<br />
Comments: ____________________________________________________________<br />
______________________________________________________________________<br />
Administrator’s Signature ______________________________________________<br />
Date<br />
_____________________<br />
OVER<br />
Revised 9/2011
***Superintendent Approval: Yes _____ No _____<br />
Comment: _____________________________________________________________<br />
______________________________________________________________________<br />
Superintendent’s Signature: _______________________________________________<br />
Date: ________________________<br />
Revised 9/2011
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