Leave Form
Date
*
-
Month
-
Day
Year
Date
Your Name
*
First Name
Last Name
Employee Number
Found on your paystuband Prism
Your Employee Number
Found on your paystub and Prism
Your Email
*
to receive confirmation of response
Type of Leave
*
Paid Time Off (PTO)
Leave of Absence w/o Pay
FMLA Leave (please upload medical certificate)
Other
Site
*
Please Select
CORP-Corporate Office
HSP-Heeia State Park
PS-Aikahi
PS-Alewa
PS-Calvary
PS-Enchanted Lakes
PS-Ewa
PS-Hawaii Kai
PS-Honolulu
PS-Judd
PS-Kahului
PS-Kalaeloa
PS-Kaneohe
PS-King St.
PS-Maili
PS-Makawao
PS-Maui Evangelical
PS-Mililani Tech Park
PS-Moanalua
PS-Pearl City
PS-Piilani
PS-St. Marks
PS-St. Tims
SA-Aiea
SA-Ala Wai
SA-Ben Parker
SA-Connections
SA-DeSilva
SA-Eleele
SA-Enchanted Lake
SA-Haaheo
SA-Hahaione
SA-Hanalei
SA-Heeia
SA-Hickam
SA-Hilo Union
SA-Hokulani
SA-Holualoa
SA-Honaunau
SA-Hookena
SA-Iliahi
SA-Jefferson
SA-Ka Umeke Kaeo
SA-Kahakai
SA-Kahala
SA-Kahaluu
SA-Kahuku
SA-Kahului
SA-Kainalu
SA-Kalaheo
SA-Kalanianaole
SA-Kaleiopuu
SA-Kalihi
SA-Kalihi Uka
SA-Kamakau PCS
SA-Kamaile Academy
SA-Kamalii
SA-Kamehameha Hawaii
SA-Kamiloiki
SA-Kaneohe
SA-Kanoelani
SA-Kapaa
SA-Kapiolani
SA-Kaumualii
SA-Kealakehe
SA-Keaukaha
SA-Kekaha
SA-Keonepoko
SA-Keoneula
SA-Kilauea
SA-King Kamehameha III
SA-Koko Head
SA-Koloa
SA-Konawaena
SA-Kula
SA-Liholiho
SA-Lunalilo
SA-Makalapa
SA-Mary Star of the Sea
SA-Mokapu
SA-Moanalua
SA-Nanaikapono
SA-Nanakuli
SA-Nimitz
SA-Pahoa
SA-Paia
SA-Pearl Harbor
SA-Pearl Harbor Kai
SA-Pearl Ridge
SA-Princess Kaiulani
SA-Princess Nahienaena
SA-Pukalani
SA-Salt Lake
SA-St. Elizabeth
SA-St. Joseph Hilo
SA-St. Louis
SA-St. Theresa
SA-Sunset
SA-Volcano
SA-Voyager
SA-Waiakea
SA-Waiakeawaena
SA-Waihee
SA-Waikiki
SA-Waikoloa
SA-Wailuku
SA-Waimalu
SA-Waimea
SA-Webling
SA-Wheeler
SA-Wilcox
Date(s) of Leave
*
Work Hours Requesting Off
*
Total Number of Hours Requesting Leave
*
Arrangements for Coverage
Your Supervisor Work Email
*
Confirmation Email
MUST be a @kamaainakids.com
File Upload for Medical Certificate if you checked FMLA Leave
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