Funeral leave request (supplement to annual or sick leave request) employee s name (please print) date request submitted: name of deceased family member: relationship: place of death: (city and state) date of death: date of burial: place of...
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Delano school district #879 teacher personal leave request teacher bereavement leave request teacher compensation leave request date: name: date of intended leave: i acknowledge and understand that personal leave shall be granted only for...
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Idaho millennium fund healthy families network grant application october 10th, 2008 contact person: tammy payne, executive director organization name: healthy families network, inc address: p.o. box 494, nampa, idaho 83653 ph: (208)461-5475 cell:...
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The management corporation strata title plan no. name of estate: application to purchase access card name of owner: unit no: contact no: (residential) (mobile) no of cards required: reason for purchase: lost of access card (to enclose police...
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Army public school bathinda mil stn (punjab) 151004 application for admission form no. admission no 1. full name of pupil 2. date of birth(in words) (in figures) (authority) fathers name mothers name fathers occupation (a) army/air...
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Form i bradley university sabbatical leave application 1. name rank 2. department college 3. date of initial fulltime employment at bradley 4. date of last sabbatical leave 5. number of previous leaves at bradley 6. preferred time of sabbatical...
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School district no. 59 (peace river south) regular board meeting date: place: december 12, 2012 1:00 pm board office dawson creek approval of agenda opening prayer election of chair and vice chair (declaration of conflict of interest) 1. items for...
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C.1 application for extended leave (leave over 10 days) certificate for extended leave (l) including travel /holidays application for leave accepted. please attach the application to this certificate. parent receives the original and a copy is...
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Chief forensic psychiatrist approved form 12a forensic patient leave application thci: (patient id): family name: given name: (patient not subject to a restriction order) dob: / / gender: m f tg/it address: phone: mob: mental health act 2013 affix...
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City of manassas park sign permit application date of application date issued location of sign sign owner/contractor new sign relocate alter temp no. of existing signs dimensions total sq.ft free standing sign dimensions total sq. ft. wall sign...
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Itse 1294 ? special topics in cs: information technology in health care (2:1-2) informal description: the medical environment in now highly computerized. this course introduces students to computers, and delivers practice using productivity tools...
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Fort bend county municipal utility district no. 25 customer service inspections the water user (customer) has a responsibility to protect the safety of the water supply, both on their premises and in the public system. the texas commission on...
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Delaware home performance rebate application form a. customer information first name: last name: installation address: city: state: daytime phone: zip code: email: b. list of items installed/cost: items installed: 1. cost: 2. 3. 4. 5. 6. 7....
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Faculty senate faculty development leave committee application for faculty development leave i general information name: rank: college: department: term of requested leave: full year at 2/3 salary half year at full salary date of requested leave:...
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Rowan university sabbatical leave application semester(s): name: last first mi requested duration of sabbatical: first semester: september 2006 thru december 2006 second semester: january 2007 thru june 2007 full year: september 2006 thru june...
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