Arranged Student Absence Request

Arranged Staff Absence Request

South Texas Christian Academy 2019-2020
NOTE: Please complete this form prior to any request to miss work except for emergency sickenss. Remeber to complete the form well in advance so adequate substitution plans can be made.
Name *

First Name Last Name
Today's Date *

Month Day Year
Date
I am requesting to be absent from my teaching apporintments on the following dates and times
Beginning
Date *

Month Day Year
Date Hour Minutes AM/PM Option
Returning
Date *

Month Day Year
Date Hour Minutes AM/PM Option
Reason for request (please describe why you need to miss your teaching appointments) *
Substitute Request
Substitute Requested

First Name Last Name
Contact Information
All substitutes are arranged by the registrar. You may request a substitute, but please remember this is only a request and due to other priorities, we may not be able to honor it. Please, do NOT contact this person unless authorized to do so by the administrator
Comments
Submitting this request will automatically send it to the Principal and Academic Principal for Approval. You will receive a reply with the status of your reqeust.
Staff Email *
example@example.com
Digital Signature *
Please type your full name:
AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding. *

I Agree
Should be Empty:

Arranged Staff Absence Request

NOTE: Please complete this form prior to any request to miss work except for emergency sickenss. Remeber to complete the form well in advance so adequate substitution plans can be made.

Beginning

Returning

Substitute Request