Admin Leave Request Form

First Name

Last Name

Email Address

Contact Phone Number

Type of Leave Request

Start Date

End Date

Number of Days Requested

Substitute to be provided for Substitute to be provided for N/A Period 1 Period 2 Period 3 Period 4 Period 5 Period 6 All day

Further information if required

11 + 2 =

This form is for Administrative staff use only.

Leave requests will be sent to the Director for consideration and may only be approved by email from the administrator’s Cedar email account.

You can find links to all Cedar staff forms at this address: