Form for CEA Affiliated Staff

Form for CEA Affiliated Staff
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    I would like to participate in the Sick Leave Bank Pool and I am donating to the pool:
    Choose the number of days you wish to donate
     
    Choose the number of days you wish to donate
     
    Choose the number of days you wish to donate
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    Please add the sick, personal and vacation days you wish to donate. Enter the total number of days here.
    I understand the following:

    (1) My accrued balance will be decreased by the amount of the donation stated above.
    (2) This contribution to the Sick Leave Bank is voluntary.
    (3) This donation cannot be reversed. Once I make my donation, I am no longer entitled to use the donated day(s).
    (4) This donation does not guarantee that I will be granted use of the sick bank in the future.
    (5) To remain eligible for the sick bank, I must donate at least one day each school year.
    By checking, I agree, I confirm that I have read and understand the rules outlined above. By checking "I agree" I submit my days to the sick bank.
    I agree
    I do not agree
Please enter characters in the image above. Letters are case-sensitive.
     


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