╨╧рб▒с                >  ■ 	               *          ,      ■       )                                                                                                                                                                                                                                                                                                                                                                                                                                                   ье┴ q`	  ё┐             y   bjbjqPqP                  	 4  : : y                                                                       д     д      д  д      д      д      д      д             ▐  ─  &      &      &      &     :     в      Ы  °   b      b      b      b      b      b      b      b                                           $   У  h  √  h   @                     д      b                      b      b      b      b      @              д      д      b              b      U     ▐      ▐      ▐      b     д      b      д      b                    ▐                                                      b                    ▐              ▐      д      д                                                              ▐      b      V     ░╤tev╔        &      ~  4   ▐                    k  0   Ы      ▐      c      ▓  "   c      ▐                                                                              c              д      ▐  <   b      b      ▐      b      b                                      b      b      b      @      @                                      ╘  
                                   b      b      b      Ы      b      b      b      b              в      в      в  Д  &      в      в      в      &      ╕     ╠     ┌     д      д      д      д      д      д                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 REQUEST FOR LEAVEDIRECTIONS			Complete and remit to the building principal and to the district office				Request must be made five (5) days prior to the requested leave.Date Request is being submitted: 					Date of Leave:  					Leave Requested is:	Personal 		Professional 		Known Medical 		Administrative 		AM 		PM 		ALL DAY 			Are STUDENTS being transported?  				Is a substitute required?  				If professional or administrative request, indicate the activity or meeting and where it is to be held:Activity/Meeting?  			Location:  	Time of departure  		Method of transportation  	Time of return  	Are you requesting the district to reimburse your expenses?  	  (if yes, itemize below)	Mileage (Round trip miles x 	) =				Registration Fee =				Meals =				Lodging = 				Estimated Total Cost =		УAttach bills/receipts to Expense ClaimФ  Expense claims are available at the school office and usd395.orgState Inservice Plan Participant?	Yes  		No  		Leave Requested by:  					TeacherТs Signature			PrincipalТs Signature	  LEAVE APPROVED		  LEAVE NOT APPROVED					SuperintendentТs Signature                                                                                                                                                                                                                                                                                                                                                                                                                 h  l  м  ╨  ╘  х  ъ  		  
	  	  	  (	  )	  9	  <	  @	  A	  E	  F	  O	  R	  S	  u	  x	  Ц	  Ъ	  ╘	  ▄	  р	  ч	  ь	  ё	  
  !
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  -
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    їъ█╦█╦┐▓┐▓┐▓┐▓┐▓┐▓┐▓┐▓┐▓еЩеЩеЩКЩКЩКЩеЩеЩеЩеЩеЩеЩеЩеЩеЩ  hЯZr 5Б>*CJ OJ QJ aJ  hЯZr CJ OJ QJ aJ  hЯZr >*CJ OJ QJ aJ hK═ >*CJ OJ QJ aJ hK═ CJ OJ QJ aJ  hK═ hK═ >*CJ OJ QJ aJ hK═ hK═ CJ OJ QJ aJ  hK═ h╥R  OJ QJ  hK═ hK═ OJ QJ 6       h  н  о  п  ы  ь  ;	  <	  R	  S	  y	  z	  Ы	  Ь	  
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  
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  !
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          (  )  D  E  ░  Ў            Ў            Ў            Ў            Ў            Ў            ъ            ъ            ъ            ъ            ъ            р            р            ╙            ╙            ╙            ╙            ╙            ╙            ╙            ╙            ╙            ╙            ╙                        ╞ р Ё`'   gdЯZr 
  ╞  `'  gdЯZr    ╞ р`'   gdЯZr    ╞ `' gdЯZr        &  '  (  B  C  E  п  ╪  ┘  ▐  ▀  ў  °  √  №  ¤  ■  .  /  @  A  Y  [  x  y  Єц┌═ц┌═┌╛┌═┌═┌═┌═┌═┌═┌═┌═┌о                                                                                                                                                                                                                 hLЄ hLЄ CJ H*OJ QJ aJ hLЄ 5Б6БCJ OJ QJ aJ  hLЄ >*CJ OJ QJ aJ hLЄ CJ OJ QJ aJ  hЯZr CJ OJ QJ aJ  hЯZr >*CJ OJ QJ aJ  ░  ▒  р  с  ∙  ·  √     ,  -  .  V  W  X  \  y  Є            х            х            █            █            █            ╧            └            └            └            ┤            ┤            ┤            и            и                                                                                            ╞    gdLЄ    ╞ аPЁ   gdLЄ    ╞ PX `'   gdLЄ    ╞ P`'   gdLЄ 
  ╞ ░`'  gdLЄ   ╞ @р░P    gdLЄ   ╞ р Ё`'   gdЯZr  2 1Рh:pp*╟ ░╨/ ░р=!░а"░╨#Р╨$Р╨%░  ░╨░╨Р╨                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Ж   Ь                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            @  @ё  @          N o r m a l       CJ _HaJ mH	sH	tH	                  D A Є б D          D e f a u l t   P a r a g r a p h   F o n t     R i є │ R          T a b l e   N o r m a l    Ў  4╓ 
l 4╓   aЎ      ( k Ї ┴ (           N o   L i s t              y                     аzЩ         y                      h   н   о   п   ы   ь   ;  <  R  S  y  z  Ы  Ь                 !  .  /  0  a  b  t  u  v  ╬  ╧  є  Ї          (  )  D  E  ░  ▒  р  с  ∙  ·  √     ,  -  .  V  W  X  \  {     `'  л    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9    `'  @9           h   н   о   п   ы   ь   ;  <  R  S  y  z  Ы  Ь                 !  .  /  0  a  b  t  u  v  ╬  ╧  є  Ї          (  )  D  E  ░  ▒  р  с  ∙  ·  √     ,  -  .  V  W  X  \  {  Ш@   0       А   А         Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А          Ш@   0       А   А               y           
  ░  y     
         y  	       ╖  └  x  {              ╖  ╣  l  v  x  {   3  3  3       ╤   ╤     x  {           {   	         х          ╥R  ў ЯZr p*╟ K═ ё	т 	Xё LЄ ЪS√  @ А         №{ 	                       y  P   @        U n k n o w n                                               GР  Зz     А              T i m e s   N e w   R o m a n   5Р                   А    S y m b o l   3&Р  Зz     А              A r i a l   A&Р  З              Я       A r i a l   N a r r o w   "  qИ Ё╨  h    Эr╤fЮr╤fШr╤f    к   ╧          к   ╧             ! Ё                                                                                                                                                                                                                                                                                                                        а╨┤ ┤ ББ24              w  w                                                                        3Г Ё                              HX    )Ё  ?  ф                       ў     2                           R E Q U E S T   F O R   L E A V E        s p a r t o n  s p a r t o n                                                                                                                                                                                                                                                                                                                                                                                                                                                  ■                       рЕЯЄ∙OhлС +'│┘0   Ш        Ш      а      ╝      ╚      ╪      ф      Ё        	        (  
   H     T     `     l     x     А     И     Р     ф        REQUEST FOR LEAVE                   sparton                           REQUEST FOR LEAVE         sparton       1         Microsoft Office 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395 LaCrosse Schools                   w     ц                                     REQUEST FOR LEAVE            Title                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               	   
            ■                                 ■                         ■   "   #   $   %   &   '   (   ■   ¤   +   ■   ■   ■                                                                                                                                                                                                                                                                                                                                           R o o t   E n t r y                                                         	     └      F            ░Btev╔-   А       1 T a b l e                                                                                                        c      W o r d D o c u m e n t                                                                                             4       S u m m a r y I n f o r m a t i o n                           (                                                          D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                                 !           C o m p O b j                                                                                                       q                                                                                                                                                                                                                                                                          ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            ■ 
      	     └      F   Microsoft Office Word Document 
   MSWordDoc    Word.Document.8 Ї9▓q                                                                                                                                                                                                                                                                                                                                                                                                                           