Request for Time off I hereby request permission to be absent from my teaching duties at Blue River Career Programs on:Date MM slash DD slash YYYY Absent Duration I will be off absent for 1 day only I will be off absent for more than one day Up until Date MM slash DD slash YYYY I will be absent for: Entire day Half day I will take my absent in: Morning Afternoon Pursuant to the Provisions of Article VI, Section A (sick leave) or Section B (personal leave), of the Contractual Agreement between Blue River Career Programs’ Governing Board and the Blue River Career Programs’ Teachers’ Association.I need to be absent for the following reason: Bereavement Leave (death of an immediate family member) Death Leave (death of someone not an immediate family member) Family Medical Leave (leave for illness of an immediate family member) Medical Leave (sick leave for employee only) Personal Leave Jury Duty Vacation Leave (applies to BRCP administrators and Maintenance Technician only) Witness Duty (employee who is subpoenaed to appear in court) Name* First Last Email* Signature
