EmailMeForm
Part Time Employee Personal/Vacation Time Request
Name
*
First
Last
Date Today
*
MM
/
DD
/
YYYY
Type of request
*
Vacation
Personal Day
Reason for leaving
*
Date Leaving
*
MM
/
DD
/
YYYY
Date Returning
*
MM
/
DD
/
YYYY
List any areas or duties that will need to be covered during your absence, who will be covering them and any important events that will occur.
*