GCJR/SR HIGH 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


Medical Leave

Professional Leave



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



For Secretary use only:

Substitute's Name: 

Secretary: Cindy Bolton





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