By filling out and submitting
this form, you acknowledge that you have read and understand the
and that the information you are submitting is true and
accurate. For planned absences, please submit your request at least 3
weeks prior to date that your are requesting off. Reminder: Personal Days are divided into 2 periods such that 3 days may be taken during rotation blocks 1-12 and 3 days during blocks 13-25.