District 6: Request a Leave of Absence

District 6 staff members have access to various leave types depending on their position within the district. Please use this form to request a leave of absence. Once you submit, Human Resources will contact you by email to schedule a virtual meeting. Please check your email for this invitation. At the meeting, you will discuss the approval or denial of the request, which type of leave it is, your accrued leave balance, any required paperwork, and next steps.

Questions? Contact Human Resources at 970-348-6070 or district6-humanresources@greeleyschools.org.

Today's Date

mm/dd/yyyy

Last Name

First Name

*Anticipated Leave Start Date

If your Leave start date changes, please notify HR.

*Anticipated Return to Work Date

*Personal Email

District 6 Email

Phone Number

Phone

Work Location

Supervisor

Leave Type Requesting

Do you have a partner requesting leave that also works for Greeley-Evans School District 6?

Yes

Job Title

Job Classification

Please briefly describe your reason for requesting leave.

Will you be needing a substitute while you are on leave?

If you have a specific substitute in mind, please name below.

Sick Leave Bank (Responsibility):

By checking the box below, I understand that if I am a part of the Sick Leave Bank, I am responsible for all appropriate paperwork and on time submission to HR or Payroll. Please read your handbook for deadlines and expectations within the SLB process.

Extended Leave Communication:

By checking the box below, I understand that if I am on leave for an entire school year, I am required to notify HR by April 1st in writing that I plan on returning to work or resigning for the following school year.

If you have a doctors note to attach, please upload here.

Drop your files here

Send me a copy of my responses

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