Substitute Request

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Substitute Request

Please complete the following information when requesting a substitute. Once completed an email will be sent to Brenda La Bar. Items with an asterisk are required. **If you have pre-arranged coverage prior to submitting request(s), the sub service WILL NOT be responsible for confirmation of coverage.

1.	Name*

Building(s)*

Primary School

Intermediate School

Middle School

High School

District

3.	Position (example: Teacher)*

4.	Subject and/or Grade Level*

5.	Reason for Absence

6.	Date(s) of Absence*

7.	Duration of Absence
	Duration of Absence Full Day Half Day - AM Half Day - PM

8.	Particular Substitute Preference (if possible)

9.	Comments