APPLICATION FOR LEAVE
Name
First Name
Last Name
Email
Department
Primary
Language and Humanities
Science
Maths
Type of leave
Sick Leave
Leave without pay
Annual Leave (summer only)
Work from home request
Start date
-
Month
-
Day
Year
Date
Last date
-
Month
-
Day
Year
Date
Total days
Do you need cover for your classes?
Yes
No
Please upload material for your cover lesson and leave instructions in the box below
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Cover lesson instructions
1
By signing, you agree to the terms and conditions of the NSS Work From Home Policy
2
Please upload doctors note
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