Your request for time off should be submitted, scheduled, and approved by the Executive Team in advance. 

Name *
Today's Date: *
Today's Date:
Beginning Date Requested: *
Beginning Date Requested:
Ending Date of Request: *
Ending Date of Request:
Date Returning to Work? *
Date Returning to Work?
Type of Request: *
Please list the days and or hours requested for each type of leave selected (Example: Vacation-2 days, Personal 4 hours )
By checking agree, I understand that time away from work is subject to approval: