Administration - Senior Information Sheet

Please submit this form at least 48 hours in advance of your absence or, as soon as you know you will not be on campus.
You will only receive notification if your absence is not approved.

Discretionary leave shall not be allowed on:
1. The three (3) days before a school holiday.
2. The three (3) days after a school holiday.
3. Days scheduled for end-of-semester or end-of-year exams.
4. Days scheduled for TAKS testing.
5. Professional, staff development or workdays.
6. The first and last ten (10) student days of the school year.
7. Days and evenings set aside for open house and other special activities.

Todays Date:

Employee Name:

I request permission to be absent on the following date(s):

Please check all that apply:

If you require a sub, it must be called in as a 1/2 or full day absence.

		1/2 Day
		Full Day
		Sub Required
		No Sub Required

Reason for Absence:

		Coaching/UIL/Student Activity
		Comp Time (Paras & IA's only)
		Death In Family
		Doctor's Appointment
		Employee Illness
		Jury Duty/Subpeona (paperwork required upon returning)
		Extended ARD
		Family Emergency
		Family Illness
		Maternity Leave
		Personal
		District Staff Development (Pre-approved by District)
		Special Programs Staff Development (Pre-approved by Special Programs Dept. only)
		Campus Staff Development Pre-approved at campus level. (input as personal and adjustment will be made by Sub Coordinator). Please be sure to check both personal and campus staff development boxes on this form so this absence will not count against your leave.

Confirmation#

Absence Reporting System/Sub System called:

Comments: