Fillable Donation and Enrollment Form (Cisco College)

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Donation and Enrollment Form (Cisco College)

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The Donation and Enrollment Form (Cisco College) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Cisco College

BROWSE CISCO COLLEGE FORMS

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Date: _______________________
Name:_________________________________________ SSN:_________________________________
1 2
1 2
3 days -- Jan 1-31st
3 days -- August 1-31st
SLP Rule 2b: To maintain current membership, an employee must donate at least one day (8 hours)
of accrued sick leave time each subsequent fiscal year (Sept.- Aug.) following enrollment. The
maximum donation per employee per fiscal year is 3 days(24hours).
Faculty
I would like to donate:
Employee Signature:___________________________________ Date:_________________________
HR use only:
_______ has been employed at least 6 months
_______ has accrued at least 5 days sick leave
_______deducted from leave balance
_______days added to SLP
Donation and Enrollment Form
If you are enrolling and want to contribute, please complete the information below
Enroll
Donate Hours
___________________________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________________________
______________________________________________________________________________
Admin
Staff
________________________________________________________________________________________
ABSENCE REPORT
Name: SS#
Dept: First Date Absent: Date Retu
rned to Work:
Total Days Absent (Must be in 4 or 8 hour a day increments):
Sick:
Vacation:
Reason for Absence:
Explanation:
Faculty Only:
Class(es):
Subject Section Period Time
Subject Section Period Time
Disposition of Class(es):
Approved:
Supervisor: X____________________________ Employee: X
Date: _____________________________ Job Title: ______________________________
Date: ______________________________
Note: Be sure to mark all blanks applicable to your absence and form is signed by Supervisor and employee.
___________________________
Sick Leave Pool
06/2014 MW
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Donation and Enrollment Form (Cisco College)

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Completed 27 July 2020

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