Fillable Kelly Educational Staffing Long Term Request Form (Constant Contact)

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Kelly Educational Staffing Long Term Request Form (Constant Contact)

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2012 Kelly Services, Inc. An Equal Opportunity Employer Page 1
Kelly Educational Staffing
Long Term Request Form
Note: Please use this form for all Long-Term requests. All fields must be completed.
Email to dana.mentel@kellyservices.com and scott_fitzpatrick@charleston.k12.sc.us
INFORMATION NEEDED
PLEASE RESPOND BELOW
School Name
Individual Submitting Request
What is the start date of this assignment?
What is the end date of this assignment?
What Teacher is this assignment for? Employee
name is required. If Vacancy, please put “Vacancy
Teacher” or “Vacancy Teacher Assistant”.
What type of classroom is this? (ie; 3
rd
grade, 8
th
grade English.)
What is the absence reason? (ie; FMLA, etc.)
Do you have a Substitute in mind that you would
like for this assignment? Please note if you have
already confirmed with Substitute.
Do you require that the Substitute be Certified?
PLEASE CHOOSE ONLY ONE OPTION BELOW:
Would you like to receive resumes to review
OR would you like us to push this assignment out
to our sub pool to be picked up (Cannot
guarantee a certified sub if pushed to the pool)?
Are there any other details about this assignment
you would like us to know?
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Kelly Educational Staffing Long Term Request Form (Constant Contact)

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Completed 1 March 2021

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