Staff Leave Form | McConnell Memorial Baptist Church

Staff Leave Form

Name
First Last
Email
Date of Leave Start*
MM slash DD slash YYYY
Date of Leave End*
MM slash DD slash YYYY
Return To Work On
MM slash DD slash YYYY
Comments
Select Supervisor*
Type of Absence
Other
Based on my benefits, this time should be deducted from:
# of Days:
# of Hours:
Add Any Other Pertinent Info:
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