School Activities Leave Request Form

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Employee Name: _______________________

Employee Department: __________________

Please note that employees are expected to give one week's notice of the need for leave whenever possible. If circumstances prevent the employee from giving one week's notice, the employee is expected to give as much notice as possible.

Date of leave requested: _________________

Hours of leave requested: ________________

Reason for leave request:

___ Meeting with teachers or school administrators.

___ Helping in child's class.

___ Helping with or attending school/class event.

___ Other, please explain: _______________________________________________________________________ _______________________________________________________________________

I have read and understand the policy regarding parental and school leave. I understand that I may be required to use paid leave.

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Employee signature                                                     Date

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Supervisor signature                                                   Date