Sick Leave Donation Form. Delaware Area Career Center Sick Leave Donation Form I, , an employee of the Delaware Area Career Center, hereby donate one (1) day of my accrued unused sick leave in response to the Notice of Request for Donation of Sick Leave dated . I would like to voluntarily donate one (1) accrued but unused sick leave day to (person to receive donation) . I understand that I may donate one (1) day of sick leave per school year per each request for donation. Date Signature of donating employee - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Administrative use only: Date received by Sick Leave Donation Review Committee: Donated Sick Leave will be deducted on the next pay period. Donated Sick Leave will not be deducted due to not being accepted. Donated Sick Leave will not be deducted due to not being needed at this time. Original: Treasurer Copy: Employee
Sick Leave Donation Form. The parties agree to use the attached Sick Leave Donation form
Sick Leave Donation Form. NOTE: The day/days given are NOT bank days. These days are personal sick leave days belonging to the individual donating the days. According to the contract between the School Board of Volusia County and the Volusia United Educators (VUE), the VUE sick leave bank administrators may grant additional days voluntarily given by the other bank members in cases of extreme hardship to a sick leave bank member who has utilized all accumulated leave and all awarded sick leave bank time. Please donate (# of days) to Name Signature Social Security Number Date Worksite This donor is a member of the VUE Sick Leave Bank and has sufficient days to cover this request. Payroll Representative Date ANY DONATED DAYS UNUSED BY THE RECIPIENT WILL BE RETURNED TO THE BANK. MEMBERSHIP APPLICATION To: Sick Leave Bank Committee Volusia County School Board Administration Building From: Name: S. S. No.: Work Center: ID No.: Subject: Sick Leave Bank for employees covered by VUE. Date: / / I, , having fully read and understood the attached provisions on the Sick Leave Bank for non-instructional personnel of The School Board of Volusia County, do hereby wish to contribute one (1) day of my accrued sick leave to said bank and become a member thereof. I certify that I have been employed by The School Board of Volusia County for more than one (1) full year and have five (5) days accrued sick leave. I understand that the provisions of the Sick Leave Bank are applicable only for my personal injury, accident or illness. I further agree that the decision of the Sick Leave Bank Committee on the use of Sick Leave Bank days shall be final in all cases. I understand that if the bank balance is diminished below fifty (50) days I shall be required to contribute one (1) additional day, not to exceed two (2) days per year. Lastly, I understand that any days contributed to the Sick Leave Bank are not refundable upon withdrawal or voluntary termination of membership. Signed APPENDIX C
Sick Leave Donation Form. I, (donor), an educational support employee employed by Jacksonville Community Unit School District #117 do this date donate one sick leave day to (recipient), an employee employed by Jacksonville Community Unit School District #117. Sick leave days are to be donated in full day equivalent increments only to full-time employees and half day increments only to half-time employees. The donated sick day will be deducted from the donor’s accumulated sick leave only after the recipient uses it. The donation form will be returned to the donor if the sick leave day is not used before the end of the above-named recipient’s contract year, this school year, or not needed. I understand the determination of which donors’ sick leave days will be transferred will be on the basis of when the completed donation form is received in the office of the Board of Education as recorded in a log kept therein. Those donations logged first will be transferred first. Date Donating Employee’s Signature OFFICE USE Log Date Sequence Number APPENDIX B EMPLOYEE NAME TYPE BLDG 2015 2016 2016 2017 2017-2018 XXXX, XXXXX A PARAPRO JHS 9.52 11.00 11.22 XXXX, XXXXX S PARAPRO XXXXX 9.52 11.00 11.22 XXXXX, XXXXXXXX PARAPRO XXXX 9.52 11.00 11.22 XXXXXX, XXXXX X PARAPRO NORTH 9.89 11.00 11.22 XXXXXX, XXXXX J PARAPRO XXXXX 10.03 11.00 11.22 XXXXXXXX,XXXX PARAPRO JHS 10.65 11.00 11.22 XXXXX, XXXXX E PARAPRO XXXX 11.05 11.27 11.50 XXXXX,XXXXXXXX X PARAPRO XXXX 11.21 11.43 11.66 XXXX,XXXXX X PARAPRO LINC 11.21 11.43 11.66 XXXX, C XXXXX PARAPRO XXXXX 11.21 11.43 11.66 XXXXXX, XXXXXXXXX XXXXXXX XXXXX 11.62 11.85 12.09 XXXXXXX,XXXXXXXX J PARAPRO XXXXX 12.04 12.28 12.53 XXXXX, XXXXX A PARAPRO WASH 12.04 12.28 12.53 LINEAR, MITZ1 M PARAPRO WASH 12.04 12.28 12.53 XXXX, XXXXXXXX X PARAPRO XXXX 12.04 12.28 12.53 XXXXXXX,XXXXXXX PARAPRO CLAY 12.04 12.28 12.53 XXXXXX,XXXXX L PARAPRO XXXXX 12.47 12.72 12.97 XXXXXXXXX, XXXXX PARAPRO TJH 12.47 12.72 12.97 XXXX,XXXX E PARAPRO PATH 12.71 12.96 13.22 XXXXXX, XXXXXX PARAPRO JHS 12.91 13.17 13.43 XXXXXX-XXX, XXXX PARAPRO WASH 12.91 13.17 13.43 XXXXXXXXX, XXXXXXX X PARAPRO TJH 13.37 13.64 13.91 XXXXXX,XXXXXXX XXXXX PARAPRO XXXX 13.37 13.64 13.91 XXXXXX, XXXXX K PARAPRO JHS 13.37 13.64 13.91 XXXXXXXX,XXXXXX PARAPRO TJH 13.37 13.64 13.91 XXXX, XXXXXXX M PARAPRO JHS 13.37 13.64 13.91 XXXXXXX, XXXXXXX PARAPRO WASH 13.84 14.12 14.40 XXXXXXX,XXXXXXX J PARAPRO TJH 13.84 14.12 14.40 XXXXXX,XXXXX L PARAPRO JHS 13.84 14.12 14.40 XXXXXX, XXXXX L PARAPRO TJH 13.84 14.12 14.40 XXXXX...
