RequestForPersonalBusiness

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THE JOHN J. DRISCOLL SCHOOL Public School 16 80 Monroe Avenue Staten Island, NY 10301 Main Building Voice: (718) 447-0124 Fax: (718) 447-5398

Vincenza Gallassio, Principal Rita Diaz-Maniglia, Parent Coordinator (347) 563-4684 (Cell)

Academy Voice: (718) 448-6129 Fax: (718) 448-2533 Caroline Conevery, Asst. Principal

REQUEST FOR PERSONAL BUSINESS DAY Name of Staff Member: _________________________________________________ Day(s) Requested: ______________________________________________________ Reason: _______________________________________________________________

_______________________________ Signature

Approved _____________________________ Vincenza Gallassio

__________________ Date


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