REQUEST FOR SUBSTITUTE

TODAY’S DATE _________________________________

TEACHER/STAFF ________________________________

DATE(S) OF LEAVE ______________________________

FULL DAY __________

HALF DAY __________ FROM _______ TO _______

REASON FOR LEAVE ____________________________________________________________________________________________________________________________________

______________________________

SIGNATURE OF PRINCIPAL

Please arrange coverage with Linda. You may write down on this sheet the names of people that you would prefer to substitute for you and every effort will be made to fulfill your request. However, due to a limited number of substitutes, it may not be possible to fill your request.

PLEASE DO NOT ASK PEOPLE TO SUBSTITUTE FOR YOU ON YOUR OWN WITHOUT CHECKING IN WITH THE OFFICE FIRST.