Updated: September 25, 2017
DIABLO VALLEY COLLEGE
REQUEST FOR LEAVE
To:
Appropriate Dean (for certificated staff)
Director of Business Services (for classified staff)
From:
(Name)
(Division/Area)
(Date)
Educational Conference Leave
*(As defined in Article 12.9, United Faculty Contract; Article 9.11, Classified Contract; and Board Policy 2020)
Personal Necessity Leave
*(As defined in Article 12.3, United Faculty Contract; Article 9.3, Classified Contract; and Board Policy 2007)
Vacation
*(As defined in Article 9.10.1, Classified Contract, and Board Policy 2032)
Leave Without Pay
Other Leave
*(Circle one: Bereavement, Judicial/Official appearances when subpoenaed, Religious Holiday, Military Leave)
Note:
*Only contract faculty and staff are eligible for these leaves.
Leaves must have one week advance approval (except emergencies).
Instructors needing substitutes should check with Division Chair.
Staff are responsible for travel arrangements. Travel authorities are to be approved by the Director of Business Services.
Payment of expenses are not automatic. An expense claim must be submitted immediately to the Business Services Office.
Inclusive Dates:
If less than one day, indicate hours:
Purpose of request (include name, purpose and location of conference/meeting:
Date
Class
Time
Substitute
Recommended:
Division Chairperson, Manager, or Director of Business Services
Date
Approved:
Appropriate Dean or Director of Business Services
Date
Distribution:
White:
Payroll Office
Yellow:
Originator
Pink:
Supervisor