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Leave Requests 2022-2023
Please complete this form for any leave beyond sick leave. This form must be submitted 5 days in advance of leave. Leave taken without proper approval is subject to termination.
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* Indicates required question
Email
*
Your email
Employee Name
*
Your answer
What is your home site assignment?
*
AELC
Avon East
Heritage North
Heritage South (AELC) Afternoon
Substitute
What is your role?
*
Site Supervisor
Secretary
Assistant Site Supervisor
Recreation Leader
Other:
Please select your reason for leave:
*
Vacation
Medical Appointment
Personal Leave (only 3 days permitted)
Jury Duty
School Activity
Other:
HIGHSCHOOL AND COLLEGE STUDENTS ONLY: If you selected School Activity, please provide the name and email address of the teacher/coach in charge of the event.
Your answer
Please list the dates you are requesting leave from work.
Your answer
I understand that I am taking leave without pay and that if I do not supply appropriate documentation if asked due to sickness or medical appointment, action can be taken against me.
*
Yes, I understand.
A copy of your responses will be emailed to the address you provided.
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