Personal / Unpaid Time Off Request (Classified Employees)
Per Article VIII, Section 8.3 of the PSE Collective Bargaining Agreement, requests to utilize personal leave to extend school vacation/break periods or holidays, as well as during the last 30 calendar days of the employee's work year, require approval by the employee's supervisor and the Director of Human Resources. 

Additionally, all unpaid leave requires such approval. 

Please complete and submit this form for time off requests meeting the criteria above. If you have any questions, please email HR@be.wednet.edu. 
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Employee Name: *

Building/Department:

 *

Position/Job Title:

 *
Email Address:
Date(s) of Absence: *
Type of Leave Requested (select one): *

Full or Partial Day(s)?

 *

Substitute Required?

 *
If yes, has a substitute been secured?
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Description of request, including rationale if requesting unpaid leave:

 *
Employee Signature *
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