This form is used for current staff to report absences and for leaders to express interest in or accept assignments. Complete whatever fields are appropriate for your use Name Phone Cell Phone Can I text you? yes no Email Absence or Assignment Acceptance? Absence Assignment Interest or Acceptance Date: if reporting an absence If you are interested in or accepting an assignment please describe Do you have security clearances? yes no Which Clearances do you have? Criminal Background Clearance Child Abuse Protection Clearance My Clearance was completed by Riverdale Program or Event Comments: