Request for Departure / Leave of Absence

Peace Academy

A full-time staff member is allowed SEVEN paid, non-consecutive absences days per a school year, provided they follow school procedure. Additionally, a permission to attend professional training may be obtained if approved and arranged beforehand.

To request a leave of absence, complete and submit this form to your administrator at least one week prior to your planned/anticipated absence, along with a copy of the lesson plans and a substitute teacher’s name, as applicable. Please note that teachers are responsible for procuring their substitutes and ensuring approval by administration.

Online Form

Download PDF Form

Request for Departure
Leave of Absence

Teacher's Name

Today's Date

Date of Planned / Anticipated Absence

From Date

Time / Duration of Departure

Full Time

Partial Time

To Date

From Time

To Time

For Medical Reason: A doctor's note or a copy of medical record is required.

Will you provide medical documentation for your absence?

Yes

Are you going to provide a copy of your lesson plan for that time period?

Yes

Would you be able to conduct your class online?

Yes

Substitute teacher's name here.

Upload your lesson plan here

Upload File

Upload supported file (Max 15MB)

Additional Notes

Your Signature

For Official Use

Approved (Your absence will be counted Off your personal days)

Pending a meeting with the principal

Off days remaining

Approved (Your absence will NOT be counted Off your personal days)

Denied

Signature

Date

Your Form has been successfully submitted.

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Request for Departure / Leave of Absence

Request for Departure Leave of Absence

Date of Planned / Anticipated Absence

For Medical Reason: A doctor's note or a copy of medical record is required.

Request for Departure
Leave of Absence