Personal Factors. Employee: ! complies with work instructions, accepts and uses constructive criticism. ! complies with work hours. ! has regular attendance. ! presents positive personal image. ! wears clothing appropriate to job responsibility. ! is flexible and adaptive. ! is dependable and able to work independently. ! demonstrates ability to perform the physical requirements of the job. ! other: Interpersonal Skills Employee is able to work cooperatively and effectively: ! with coworkers. ! with students. ! with supervisors. ! with the public. Evaluator’s Comments: CLASSIFIED EMPLOYEE LEAVES SHORT TERM LEAVES Type of Leave Where in Contract Length Purpose Conditions Sick VIII - B Earned at the rate of one day per month Illness From accumulated sick leave Notice required by the previous day Physician’s verification after 3 days Discretionary VIII - D 4 days maximum per year Personal Use From accumulated sick leave Only two days may be used consecutively in conjunction with a holiday, based on substitute availability. Personal Necessity VIII - E 7 days maximum per year Death/illness of immediate family member Accident involving person or property of employee or immediate family Other in contract From accumulated sick leave Advance notice/permission required for “other” Bereavement VIII - F 3 days maximum local 5 days maximum out-of-state per event Death of member of immediate family Full Pay Jury Duty/Subpoenaed Witness VIII - G No specific limit Jury duty/subpoenaed witness Full pay—statutory and witness fees paid to District; verified statements CLASSIFIED EMPLOYEE LEAVES LONG-TERM MEDICAL LEAVES Catastrophic Illness VIII – J 100 working days Illness or accident Catastrophic illness Includes any compensating time, vacation or other paid leave; differential pay 50% of salary or differential Industrial Accident/Illness VIII – H 60 days plus any other leaves Own work-related accident 60 days with pay Other paid leave may be used after 60 days Health benefits paid as before Worker’s Compensation Family Medical VIII – I 12 work weeks within 12-month period Birth/adoption of child; care for child, spouse or parent with serious health condition; own serious health condition Unpaid Health benefits paid as before Eligible if employed 12 months full-time 30 days’ advance notice if possible Medical certification required Intermittent leave possible Maternity Disability VIII - K Period of disability Provides that maternity is treated like any other disability/illness Sick leave/ext...
Personal Factors. Employee: ❑ complies with work instructions, accepts and uses constructive criticism. ❑ complies with work hours. ❑ has regular attendance. ❑ presents positive personal image. ❑ wears clothing appropriate to job responsibility. ❑ is flexible and adaptive. ❑ is dependable and able to work independently. ❑ demonstrates ability to perform the physical requirements of the job. ❑ other: Interpersonal Skills Employee is able to work cooperatively and effectively: ❑ with coworkers. ❑ with students. ❑ with supervisors. ❑ with the public. Evaluator’s Comments:
Personal Factors. Employee: ❑ complies with work instructions, accepts and uses constructive criticism. ❑ complies with work hours. ❑ has regular attendance. ❑ presents positive personal image. ❑ wears clothing appropriate to job responsibility. ❑ is flexible and adaptive. ❑ is dependable and able to work independently. ❑ demonstrates ability to perform the physical requirements of the job. ❑ other: Interpersonal Skills Employee is able to work cooperatively and effectively: ❑ with coworkers. ❑ with students. ❑ with supervisors. ❑ with the public. Evaluator’s Comments: XXXX UNION SCHOOL DISTRICT CLASSIFIED REQUEST FOR PRIOR APPROVAL FOR ABSENCE Today’s Date: Name: School: I request release time for the following reason: _____________________________________________________________________________________ _____________________________________________________________________________________ ACTIVITY: (check one) ________ 2-Days Personal Leave – Consecutive or used in conjunction with a Holiday (No more than 2 days of Personal Leave can be used consecutively; will be deducted from Sick Leave) ________ Personal Leave – Non-consecutive (will be deducted from Sick Leave) _________ Staff Development / Conference Funding Source: ____________________________ ________ Vacation (12-month Employees only) ________ Other (i.e., Emergency Leave, Personal Necessity, Bereavement Leave) Explain: I request permission to be absent from regular duties: 1st Date Absent: Month Day Year Last Date Absent: Month Day Year Return to work: Month Day Year Total number of release days: Employee signature Date: APPROVED: ___________________________________ Date: _____________________ Supervisor APPROVED: ___________________________________ Date: _____________________ Business Manager
