ANTICIPATED LEAVE

GRAND PRAIRIE COLLEGIATE INSTITUTE

EMPLOYEE REQUEST TO BE OUT OF CLASS OR OFF CAMPUS

12/11/20
TODAY’S DATE _____
Robert Brown
EMPLOYEE ______
12-18-20
DATE REQUESTING OFF: ______
AM
NUMBER OF DAYS REQUESTING 1 PM
ALL DAY ✔

SUBSTITUTE NEEDED: 
✔ YES  NO

If leave is approved, request a sub through AESOP immediately.

CHECK ONE THE FOLLOWING:

✔ PERSONAL DAY (5 Day Advance Notice)

_______JURY DUTY (Proof of Summons)

DOCTOR APPOINTMENT

SCHOOL BUSINESS ON CAMPUS Reason __________________________________________

SCHOOL BUSINESS OFF CAMPUS INDISTRICT Reason _____________________________

SCHOOL BUSINESS OUT OF DISTRICT Reason _____________________________________

Digitally signed by Robert Brown

EMPLOYEE SIGNATURE: Robert Brown Date: 2020.12.11 09:07:09 -06'00'

PRINCIPAL SIGNATURE:
SECRETARY SIGNATUE:_________________ DATE RECEIVED:___________________

APPROVED  NOT APPROVED 

COMMENTS:-
My Kids that go to MISD do not have school and I will need to be at the house with them.
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