GCHS and GCJH Staff Absence Report
Staff Absence Report for GCJH and GCHS

First Name: Last Name:

Email Address:

Report Date:

Date(s) of Absence:

Reason for absence (Check one):

Personal Leave

Bereavement

Illness

Medical Leave

Professional Leave

Vacation

Without Pay

Other

Other Explanation (to be filled out only if other box is checked): 

Reason for Absence: 

I hereby apply for leave of absence    I have been absent on the following dates:

Beginning (first day of absence) Ending (last day of

absence) Total work days:

__________________________________________________________

For administration use only:

Approved                                Disapproved

Administrator's name: Jason Spady

Date:

___________________________________________________________

For Secretary use only:

Substitute's Name: 

Secretary: Cindy Bolton

 

 

 

 



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