WEST LAKE ELEMENTARY SCHOOL

REQUEST FOR LEAVING EARLY

Throughout the school year, each staff member is allowed a total of 2 hours of release time for emergencies and/or for other situations that may occur during the school day. You may choose how to divide your 2 hours. Any time accumulated over 2 hours will require you to take a half-day of sick leave. A staff member taking release time must arrange for appropriate and meaningful coverage of their students and must make arrangements for any coverage of extra duty responsibilities. Please remember to also sign out on the sheet located outside the secretary’s office.

Complete, sign, and return the Request Form below to the principal no later than one day after your leaving early.

Date: ___________________

Employee: ______________________________________________________

Date for Leaving Early: ____________________________________________

Amount of time to be taken: ________________________________________

Amount taken before during the year: _________________________________

Who is covering your class? _________________________________________

How will class duties and other professional duties be fulfilled? ______________

____________________________________________________________________________________________________________________________

Reason for leaving early: ___________________________________________

____________________________________________________________________________________________________________________________

Virginia Cárdenas

Approved: ______________________________ Date: ___________________

Not Approved: ___________________________ Date: __________________