ATTENDANCE REPORT

Employee Name: (Please Print)

Date(s) of Event: (MM/DD/YY)

________________________________________________

________________________________________________

Reason(s) (please fill in the appropriate box):

STAFF
	
Sick (Please specify Self = S or Family = F)
		
Indicate ¼ day, ½ day, 1 day, etc.
	
Personal
			
Vacation
			
Bereavement, Jury Duty, Parenting Leave, Cancer Screening, Other _____________________ Please specify
			
Conference (off-site) or Workshop (on-site) Please specify
			
Unauthorized or Days Without Pay – Salary deduction (pre-approved as per association contract)

_________________________________ Employee Signature

________________________________ Supervisor Signature

This form is to be returned to Rachel Stevens ASAP. (This form does not supersede individual association contract language.)

ATTENDANCE REPORT

Employee Name: (Please Print)

Date(s) of Event: (MM/DD/YY)

________________________________________________

________________________________________________

Reason(s) (please fill in the appropriate box):

STAFF
	
Sick (Please specify Self = S or Family = F)
		
Indicate ¼ day, ½ day, 1 day, etc.
	
Personal
			
Vacation
			
Bereavement, Jury Duty, Parenting Leave, Cancer Screening, Other _____________________ Please specify
			
Conference (off-site) or Workshop (on-site) Please specify
			
Unauthorized or Days Without Pay – Salary deduction (pre-approved as per association contract)

_________________________________ Employee Signature

________________________________ Supervisor Signature

This form is to be returned to Rachel Stevens ASAP. (This form does not supersede individual association contract language.)