Ekalaka Public Schools
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Employee Leave Request

Employee Leave Request
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First Day Absent
required
Last Day Absent
required
Your Name
required
Email Address
required
Employment Type
required
Certified
Classified
Leave Type (classified)
required
Sick
Vacation
School Related (with students)
Professional (no students)
Bereavement
Leave Type (certified)
required
Discretionary
Sick
Professional (no students)
1.5 Hours
School Related
Bereavement
Who is covering your 1.5 hour leave?
required

Please specify the individual that is covering your 1.5
Bereavement
required
Sick
required
Vacation
required
School Related (with students)
required
Professional (no students)
required
Total Hours Absent (classified)
0.00
Duration of Leave
required
1.5 hours of the day
Partial Day
Full Day
Time Departed
Time Returned
Will you need a substitute?
required
No
Yes
Do you have other duties for the requested time off?
required
No
Yes
Duty details
required
Workflow/Handover Notes:
required
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Branson Rogers
Breanna Livingston
Hali Phelps
James Kapptie

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