Educational Leave Employee Agreement Form
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1COUNTY EMPLOYEE AGREEMENT RELATING TO
EDUCATIONAL LEAVE
It is hereby agreed, this _____ day of __________________ between the County of San Mateo
and _________________________________, an employee of the _______________________________
Department of San Mateo County that the following conditions shall be met with respect to the Educational Leave
for which I am applying:
1. Such Educational Leave shall be for attendance at______________________________________________
for a period of ______ work days beginning ________________________________________.
2. It is my present intention to return to County employment on_______________________________________
3. In consideration of the County of San Mateo granting to me such Leave with pay, am in order that the County
may profit from my training and so justify the expenditure involved, I agree to return to the employment of
the County of San Mateo for a period of not less than ______ months after the completion of my training
course, if such employment is available in the County service.
4. In the event that I do not return to County employment or that I cause my employment to be terminated
before having worked the required period, I agree to reimburse the County of San Mateo the entire amount
of Educational Leave Salary Allowance paid to me and I authorize that amount to be deducted from my final
paycheck.
5. I further agree to reimburse the County for any direct expense incurred by the County in the nature of tuition,
fees, tests, lodging and travel, etc., in connection with the above training in the event that I do not continue
my employment with the County for the period stipulated above.
Date:
Employee Signature
Witness:
Date:
Department Head Signature
Approved by the Personnel Director of San Mateo County this ____ day of _____________________________.
HR Director Signature
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