Crafton Hills College
Tutoring Center
Absence Request
Absence Information
Tutor Name:
Tutor ID Number:
Discipline:
Coordinator:
Substitute (if any):
Type of Absence Requested:
Sick
Vacation
Bereavement
Time Off Without Pay
Military
Jury Duty
Maternity/Paternity
Other: ______________
Dates of Absence: From:
To:
Reason for Absence:
You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent.
Employee Signature
Date
Coordinator Approval
Approved
Rejected
Comments:
Coordinator Signature
Date