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General Education Staff Leave Request
Please remember that the GOISD reimburses based on a seven (7) hour day. Use separate forms for different types of leave, e.g. Sick Leave vs. Personal Leave. Do not submit full and partial days on the same form.
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Name
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Your answer
Leave Date(s)
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Your answer
Type of Leave Requested
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Sick
Emergency (Deducted from sick leave)
Vacation
Personal
Hours Requested
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Your answer
Verification
By checking the box below and entering in your electronic signature, you are verifying that all of the information that has been entered is correct and that you, personally, have completed this form.
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I verify that the information I have entered is correct and that I am personally completing this form.
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Electronic Signature
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