Application for Leave
(other than personal illness or leaves of absence)

Please Note: Every effort is made to provide staff with confirmation of approval when applications are completed at least a week prior to the leave date. When forms are submitted for leave that has already taken place, or will take place within the next few days, you will not receive confirmation of approval.

Email address *
Employee ID *
Your answer
Surname *
Your answer
First Name *
Your answer
School/Location *
Your answer
Employee Group *
Start Date of Leave *
MM
/
DD
/
YYYY
End Date of Leave *
MM
/
DD
/
YYYY
Hours Off
If your leave is less than a full day, please indicate the amount of time you will be off
Your answer
I hereby apply for leave in accordance with the provisions of the applicable Agreement and Board Administrative Policy 426.
Special Leave With Pay is limited to 5 days per year. Bereavement Leave is subject to a 3 day maximum. Refer to your Collective Agreement and Administrative Policy 426 for the circumstances under which Special Leave with or without pay may be granted.
Please select the category for leave. *
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