511 Harrington Highway | Eden, NC | 336.627-2600

Print This Page
Leave of Absence Procedures 
 
Request for Leave of Absence (10 or more consecutive days)
 
 
2 - Print the form and sign it.
 
3 - Submit the form to your Principal/Supervisor for signature.
 
4 - Return the form to the Human Resource Department with a copy of your supporting documentation (example: Doctor's Note or you can have your doctor complete an FMLA Form).
                 
 Family Memember's Serious Health Condition - www.dol.gov/whd/forms/WH-380-F.pdf 
 
Voluntary Shared Leave 
 
1 - If you would like to request Voluntary Shared Leave. Complete the Application for Participation Form VSL Form #1.
 
2 - Print the form and sign it.
 
3 - Return the form to the Human Resource Department with a copy of your supporting documentation (example: Doctor's Note).
 
 
 
Donating Leave 
 
1 - If you would like to Donate Shared Leave. Complete the Authorization of Donation of Leave Form VSL Form #2.
 
2 - Print the form and sign it.
 
3 - Return the form to the Human Resource Department with a copy of your supporting documentation (example: Doctor's Note).
 
 
 
 
If you have any questions regarding leave requests please contact Carolina Gutierrez at cgutierrez@rock.k12.nc.us or (336) 627-2678. 
CLOSE