NON-AFFILIATED & FRASER ADMINISTRATORS ASSOCIATION REQUEST FOR TIME OFF FORM
Fraser Public Schools
Employee Name:
*
First Name
Last Name
Employee Email:
*
example@example.com
Your Department:
*
Accounting Supervisor
Assistant Principal-FHS
Assistant Principal-RMS
Athletics
Central Office Administrators
CTE Department
Curriculum Department
Dooley Preschool Teachers
Elementary Principal
Finance/Business Department
Food Service Department
HR Department
Principal(FHS/RMS)
Special Education Department
Technology Department
Transportation Department-Supervisor
Transportation Department-Dispatcher
Do you work 12 months or less than 12 months per calendar year?
*
I work 12 months
I work less than 12 months
Request for Time Off 1:
*
Request for Time Off 2:
*
**Please note the pull down calendar week runs from Monday to Sunday**
Total Hours Absent
*
Bereavement Relationship:
Must Enter Relationship if Bereavement is selected
Additional Information:
Signature of Employee:
*
Please type first and last name
Submit
Should be Empty: