| Employee | |
|---|---|
| Date of Request: | 08/12/2026 |
| Any Details You Care to Provide Regarding the Nature of Your Request: | Counseling at 5 |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for a full or partial day? | Partial Day |
| Initial Date Requested off | 08/20/2026 |
| End Date Requested off | 08/20/2026 |
| Start Time Off | 04:30 PM |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|