Submit Your “Sick Leave Bank” Form

To: All Certified Teaching Staff

From: Diane Phanos, SEA President

Re: Donations to the “Sick Leave Bank” for 2019-20

Date: May 2, 2019

Form MUST be SUBMITTED by June 18, 2019

The Stamford Education Association has established a “Sick Leave Bank” to aid unit members who may suffer prolonged absence from a disabling condition, an accident which causes disability, or a disability arising from complications from pregnancy. When personal sick leave accumulation has been exhausted, all unit members have the right to apply to the sick leave bank for assistance.

In accordance with contract Article 8, each unit member may contribute one (1) or two (2) days from his/her sick leave accumulation to the SEA Sick Leave Bank. Non tenured teachers may also donate to the Sick Leave Bank as per teacher contract. For each year they donate to the sick bank until they attain tenure, they are eligible to use 15 days from the bank.

The SEA strongly recommends that all members donate at least one day to the Sick Leave Bank to ensure their eligibility for usage of days from the bank.

If you wish to donate to the bank, please complete the form below and return it to SEA Sick Bank c/o SEA Office by June 18, 2019 (via interschool mail or by scanning to

Thank you for your prompt attention to this matter.


To complete this form, you must login with your Google ID. If you do not have a personal Google account already, they are free and you can sign up immediately online or use your district created Google account.

1 - Go to
2 - Enter your Google email address issued by SPS: (e.g.
3 - Enter the initial password which is 12345678
4 - You will also have access to most Google Apps, including gMail, as part of this account.

If you've forgotten your district Google password, see your TLPD (Technology Leader Professional Development) person to have it reset. Once in the district account, be sure to change your generic password (12345678) to a personalized password.

Email address *
I wish to donate the following # of days to the sick bank: *
Last Name: *
First Name: *
Your School: *
Your FULL Name as Signature: *
Please submit this form by June 18, 2019.
A copy of your responses will be emailed to the address you provided.
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