Wufoo
Time Off Request
Please secure approval from your supervisor prior to submitting this form.
Name
*
First
Last
Today's Date
*
MM
/
DD
/
YYYY
Has Supervisor been notified and/or approved?
Yes
No
Time Away Options
Vacation
PTO----paid
PTO----unpaid
Sick Leave Bank (If available and after paid PTO has been used)
Conference: Attending or Leading (Please indicate if leading)
Mission Trip
Dates of Requested Time Off
(Please list dates and any additional information as needed.)
*
Your Email address
Do Not Fill This Out
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