Personal Day Form
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PERSONAL DAY REQUEST FORM
This form is used to request a personal day.
1.
Employee Name:
*
2.
Employee #:
*
3.
Email address:
*
4.
Building
*
Building
*
Dayton Avenue
Eastport Elementary
ESM Jr-Sr High School
South Street
Tuttle Avenue
District Office
5.
Date of Personal day
*
mm/dd/yyyy
6.
Date of Personal day
mm/dd/yyyy
7.
Date of Personal day
mm/dd/yyyy
8.
Reason for request: (Please remember that the reason must be included for days surrounding a vacation or holiday weekend)