<p> REQUEST FOR PROFESSIONAL LEAVE</p><p> PROFESSIONAL LEAVE (Code 7; EBS 870): DATE(s)______</p><p>REASON: ( refer to Educational Agreement )______</p><p>______</p><p> CENTRAL REQUIRED LEAVE (Code 10; EBS 874): DATE(s)______</p><p>REASON: (refer to Educational Agreement)______</p><p>______</p><p> Participant  Trainer </p><p>REASON:  Joint Committee  Accompanying Students on School Related Activities  System-Wide Initiative  Other (requires detailed justification)  Official Representative of School System</p><p>Description of Activity (use specific workshop/activity title):______</p><p>______</p><p> Substitute Required  Substitute Not Required </p><p>______Date School/Location Person Requesting Leave (Print Name)</p><p>______Signature of Person Requesting Leave</p><p>______Approved Not Approved ______Date Director of Professional Learning </p><p>______Approved Not Approved ______Date Assistant Superintendent of Federal Programs</p>
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