NAME OF EMPLOYEE WANTING TO DONATE
NAME OF INTENDED RECIPIENT
NUMBER OF HOURS I WISH TO DONATE: SICK VACATION PERSONAL HOLIDAY
I  SID   wish to donate 
leave in accordance with the college’s shared leave regulation. I understand that this is subject to approval. 
SIGNATURE OF LEAVE DONOR DATE
Shared Leave Donor Request Form
TO BE FILLED OUT BY DONOR
REV. 03/11 | 10-11-090 E
RETURN COMPLETED FORM TO HUMAN RESOURCES
FOR HUMAN RESOURCES OFFICE USE ONLY
DONOR MEETS ELIGIBILITY CRITERIA YES NO
RECIPIENT MEETS ELIGIBILITY CRITERIA YES NO
VICE PRESIDENT FOR HUMAN RESOURCES DATE
COMMUNITY COLLEGE PRESIDENT APPROVAL
I APPROVE THE ABOVE REQUESTED DONATION.
I DO NOT APPROVE THE ABOVE REQUESTED DONATION.
EDMONDS CC PRESIDENT DATE