WTEA Sick Leave Bank Program 2018-2019 Enrollment Form
This form is for full-time WTEA Members to enroll into the Program. The deadline to enroll is August 31st of each school year. By enrolling in this program, WTEA Members will be donating at least one personal day, without reason, to the WTEA Sick Leave Bank, each school year. Additionally, and as needed, WTEA Members enrolled in the program may donate additional personal days during the current school year.

After the deadline for submission of this form has passed, a lottery will be conducted to determine the order in which the donated days shall be utilized. An email notification of the use of the days will be forwarded to each donor via Department of Human Resources.

By lottery order, any unused donated days at the end of the school year, shall be credited back to the WTEA Member who donated them as accrued sick time. The credit cannot be in the form of a cash reimbursement.

Please make sure you are familiar with the WTEA Sick Leave Bank Program - Document found on http://wteagc.org/voluntary-donation-of-days-policy-information/

Email address *
Full Name *
Last Name, First Name
Employee ID Number (copier number) *
School Email *
Phone number *
Building (Choose One) *
Would you like to be enrolled in the WTEA Sick Leave Bank Program by donating 1 Personal Day Without Reason? *
By checking "Yes" above, I am acknowledging that I agree to the conditions set forth in the WTEA Sick Bank Leave Program and certify that I am the person whose FULL NAME and digital signature appear on this form. *
Please Type FULL NAME for digital signature.
A copy of your responses will be emailed to the address you provided.
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