Memorial Presbyterian Church

Tithe and Offering

Staff Time Off Request Form

Employee Name

First Name

Last Name

Supervisor Name

First Name

Last Name

Date(s) Requested

Select

Indicate here if this is a change to a previously approved request

Yes

No

Notes

Employee Signature

Date

MM

DD

YYYY

Supervisor Signature

Date

MM

DD

YYYY

Office Admin - Calendar Entry (Initial)

Date

MM

DD

YYYY

Office Admin - Employee Leave Record (Initial)

Date

MM

DD

YYYY

Employee Checklist

Time off requests are submitted to the Head of Staff. After review, your supervisor will communicate with you regarding the approval/denial status of your request.
Upon approval, your employee record will be updated, your requested dates will be added to the shared Outlook time off calendar, and your form will be filed.
Please personally inform those you work directly with of your upcoming time off. Preferably 2-3 weeks in advance if possible.
Employees are responsible for seeing the request through. Please keep an authorized copy for your records.