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CENTER FOR PROFESSIONAL DEVELOPMENT
1001 Johnson Parkway
Saint Paul, MN 55106
Phone: 651-793-5471 • Fax: 651-793-5489
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REQUEST FOR TIME OFF
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Email :
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Vacation
Sick Leave
Personal Leave
Other (explain below)
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DATES REQUESTED
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FROM : Day of Week :
Date/Time :
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THROUGH : Day of Week :
Date/Time :
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Total Days/Hours requested :
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