Pasadena ISD Sick Leave Bank Enrollment Form

Sick Leave Bank registration is from September 1st to September 30th 2023. Be sure to enroll before the deadline ends! 

A RESPONSE IS ONLY NECESSARY IF AN EMPLOYEE DESIRES TO JOIN.

Members of the Bank who do not use the Bank benefits, ARE NOT REQUIRED to donate additional days unless the Bank days fall below two times the number of participating members.

Email *

I have read the rules and regulations concerning the Sick Leave Bank benefits and desire to participate by donating to the Bank three (3) of my accrued, or to be earned this year, local sick leave days.

 *
Required

I understand that these three (3) days, once donated to the Bank to become a member, will be subtracted from my accrued, or to be accrued this year, local sick leave days available.  All donations to the Bank become the property of the Bank and cannot be returned even upon cancellation of membership.

 *
Required

I further understand that should I be absent from work and exceed the number of local sick leave days remaining available for the current year, the local sick leave policy will be in effect.

 *
Required
Employee Name *
Employee ID Number *
Employee Email *
School/Department *
Position *
Length of time employed by Pasadena ISD *
Date of Employment  *
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I authorize Pasadena ISD to place three (3) local days in the Pasadena ISD Sick Leave Bank and delete the days from my available sick leave days.
 *
Required
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