Schedule Change Request Form

Purpose:  All staff members have a designated work schedule that has been designed to best meet the needs of the children and families Promise Early Education Center serves as well as ensure staff are available for meetings and various professional development engagements.  This form should be utilized when a staff members needs to make a one-time change to their regular schedule to accommodate a personal appointment and or other outside commitment.  

Whenever possible, part year staff should make personal appointments outside of teaching time to limit transitions for children and full year staff should schedule appointments at the beginning or end of the day.
 
*Please note that this form is intended for partial day requests only (i.e. leaving early, coming in late, etc.).  If a staff member needs a full day off, they should follow the procedure in AOD and request the time off to utilize PTO.

Employee Name:	           	 Classroom:      

Regular Schedule:     

Schedule Change Request:     		 Date of Schedule Change Request:        /     /     

Reason for Schedule Change Request (please note that divulging personal information is not necessary, for example, stating “medical appointment” would be appropriate     

Is a Sub necessary to cover this time?    Yes    or No 

If no, how will your classroom run if children are present: 

   I would like to utilize time from my PTO bank for this time off request
   I would like to request to flex this time and make it up another day (please note this will NOT be approved if a sub is needed, if the time you are requesting is during “child time”  or if you are requesting more than two hours off)

If you are requesting to make this time up another day, please explain on what day(s) you will make up this and at what time:      

What specific tasks will you perform during this time? (please note that in most circumstances, being an extra person in a classroom with children is not a task that will be approved).     

Please submit to your Supervisor and the Program Supervisor at least five business days before your schedule change.  You will hear if your request has been approved or denied within three business days.