Personal Leave Form (Page 2 of 2) in pdf

Personal Leave Form Page 2

Important Information regarding personal leave day request(s) that

immediately precede/follow summer, Thanksgiving, Christmas, winter and spring vacations:

SAGES members:

Not applicable.

GNTA members:

At the times noted immediately above, paid leave will be granted for reasons

1-15 outlined in Article 34(A) upon 20 calendar days prior written notice

whenever possible to the Superintendent. Documentation may be requested.

OSA members:

At the times noted immediately above, paid leave will be granted for the

first 15 reasons (“other such personal affairs” excepted) listed under 6.7(a)

upon 20 calendar days prior written notice whenever possible to the

Superintendent. Documentation may be requested.

Paraprofessionals:

Days taken at the times noted immediately above are always without pay.

ATTENTION REQUESTOR

As the requestor, it is your responsibility to:

1. Obtain your principal/director’s signature to ensure he/she is aware of this request & that arrangements will be

made for a substitute in accordance with District rules.

2. Forward original to the Superintendent’s office, if so required by the provisions of your contract.

3. Ensure you have been granted approval prior to taking the requested day(s), except in the case of an emergency.

I acknowledge receipt of this request: ______________________________________

_____________

Signature of Principal / Director

Date

(Do not write below this line.)

DISPOSITION OF REQUEST BY SUPERINTENDENT OF SCHOOLS

( ) Approved

( ) Disapproved

_______________________

______________________________________________________

Date

Superintendent of Schools

An electronic copy of the above disposition will be forwarded to the Requestor & the Principal/Director.

Amended 1/2015

Personal Leave Form Page 2