Empire state development application for additional allocation from the statewide reserve name and of issuing agency and contact information: amount of initial allocation $ amount of previous allocation(s) from the reserve $ total bonds issued...
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Request for leave or approved absence 2. employee or social security number 1. name (last, first, middle initial) 3. organization 4. type of leave/absence (check appropriate box(es) below.) date to: from: time to: total hours 5. family and medical...
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Extended sick leave application name: social security # / / address: phone: city state zip code estimated delivery date: (if maternity) location (school): position if teacher, grade and/or subject: reason for leave: last day you will work: last...
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Application form for faculty development leave tarleton state university instructions to applicants: 1. please complete section a of the application form. your department head must complete section b. 2. refer to the faculty/staff handbook for a...
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Family and medical leave act application form hr-ben-028 information and instructions if you wish to request a leave of absence under the family and medical leave act ( fmla ), please complete this application form. please mail or fax a signed...
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February 2016 events star watch friday, february 5, 8:00 get some relief from cabin fever and experience a planetarium show and do some observing if the skies are clear. orion and gemini will be the stars of the show. story time: groundhog hill...
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The city university of new york fellowship leave application clear form 2013-2014 eligibility: tenured members of the instructional staff, including those in the title lecturer with a certificate of continuous employment (cce), and lecturers with...
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Hlth1010/501 (july 2015) healthy lifestyle course class leave application form # please delete as appropriate to: # class instructor / course office at course office (room 1013, via lift3 or take staircase next to tsang shiu tim art hall) from: ,...
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Last name: first name: id number: academy: counselor: cumulative gpa: cahsee eng score: cahsee math score: early dismissal requested for period(s): john muir high school permission form - campus leave/closed campus policy minimum day request pusd...
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July 7, 2013 seventh sunday after pentecost 9:00am & 11:00am worship please use the time during the prelude for quiet meditation. lord of the harvest prelude paxton procession of cross and light the cross symbolizes christ crucified and risen and...
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Kansas state university sabbatical leave application form (copies of sabbatical leave guidelines are online at http://.k-state.edu/academicpersonnel/fhbook/fhsece.html#1 1. name: 2. department/college: 3. faculty rank: 4. tenure date: 5....
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Leave application form name: click here to enter text. department: click here to enter text. no of days type of leave: ? ? ? ? ? ? ? ? annual leave personal/carer s leave (incl. sick leave) time off in lieu (provide details) compassionate leave...
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Alameda county public health laboratory 499 fifth street, room 403 oakland, ca 94607 james r. carlson, ph.d., laboratory director tel: (510) 268-2700 fax: (510) 268-2709 clia: #05d0601931 laboratory use only: laboratory number date and time...
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Leave application form first name: surname: annual leave dates you are away from: / / to: / / total number of working days you are away: sick leave dates you are away from: / / to: / / are you providing a medical certificate? yes or no if you are...
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Marine helicopter squadron one 2102 rowell road quantico, va 221345064 terminal leave request (1901) 1. i respectfully request permission for terminal leave in conjunction with my eas. the following information is provided: (a) full name: (b) full...
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