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Application to Receive Shared Leave
Form required when an employee wishes to request shared leave donations.
Handle: Document-5911
Owner: Hanson, Jean (User-867, 07736:EVERETT)DS
Tuesday, April 26, 2005 09:50:31 AM PDT
Friday, May 5, 2023 01:30:13 PM PDT
Modified By:
Locked By:
  • Revised: 1/7/2020
I, , am making application to receivePrint Name and Employee ID Numberdays of shared leave under Everett Public Schools’ shared leave program for the work year.
  • This documentation is not required for parental, domestic violence or
uniformed service leave.
  • Relative or household member, if applicable:
Employee signature: Date:FOR HR USE ONLY ? Employee is in a position which uses sick leave or annual leave ? Employee has abided by district policies and procedures ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
SHARED LEAVE APPLICATION (2).pdf
4
204636
No
Appears In: LEAVE OF ABSENCE INFORMATION
Preferred Version: Application to Receive Shared Leave