Request Time Off Form — Wilcox Academy

Wilcox Academy of Early Learning

Please be sure to make any requests for time off at least 2 weeks prior to your anticipated leave date. All requests for time off, once approved, will be updated on the staff schedule.

Please complete the form below

Staff Member's Name

First Name

Last Name

Confirm with your email address.

Leave Date

MM

DD

YYYY

Return Date

MM

DD

YYYY

What is your reason for requesting time off?