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["Request for Leave of Absence (Personal-No-Pay)                                                                                        (ESP)"]
[]
[null,"● Employees shall be discouraged from requesting a personal leave of absence during the school year. "]
[null,"● In the event that an employee has a serious or compelling need or an unpaid leave of absence, a request may be made in writing to the appropriate executive director prior to the requested date of leave. The request must clearly state the reason that a leave of absence is necessary. After due consideration, the request shall either be granted or denied. Notification will be provided to the employee in writing. "]
[null,"● Leaves of absence granted under this policy shall be without pay. "]
[null,"● Contract employees shall not be granted more than fifteen (15) days of leave of absence under this policy in any three-year period. "]
[null,"● Any employee whose request for an unpaid leave is denied and who chooses to absent him/herself from his/her assignment despite the denial shall be deemed to have voluntarily terminated his/her employment. "]
[]
["School or Department:",{"$nulls":20},"Date:"]
[]
["Name of Employee:",{"$nulls":20},"Social Security #"]
[]
["Date(s) of requested leave of absence:"]
[]
["Clearly state reason for requesting leave of absence (Personal-No-Pay):"]
[]
[]
[]
[]
[]
["Number of personal-no-pay days previously allowed under Policy DP337 NEG for three consecutive years including the current year."]
[]
[{"$nulls":5},"School year:",{"$nulls":5},"/",{"$nulls":7},"Personal-No-Pay Days Used Total: "]
[{"$nulls":5},"School year:",{"$nulls":5},"/",{"$nulls":7},"Personal-No-Pay Days Used Total: "]
[{"$nulls":5},"School year:",{"$nulls":5},"/",{"$nulls":7},"Personal-No-Pay Days Used Total: "]
[{"$nulls":19},"Three-Year Total: "]
[]
[]
[]
[{"$nulls":18},"Employee Signature",{"$nulls":11},"Date"]
[]
["Refer to policy DP337 NEG:  Leave of Absence (Personal - 15 Days )"]
[]
[]
[]
[]
[]
["1.",null,null,"Principal/Director acknowledges receipt of this request."]
[]
[]
["2.",null,null,"Prior approval is required.  This request for personal, no-pay leave is:"]
[]
[{"$nulls":3},"q","Approved",{"$nulls":4},"q","Rejected"]
[{"$nulls":18},"Principal/Director",{"$nulls":11},"Date"]
["Comments:"]
[]
[]
[]
["9361 South 300 East, Sandy Utah 84070-2998 (801) 501-1000"]
[{"$nulls":29},"2/23/2010"]

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