Alameda County Electrical JATC Leave of Absence Request Form

Alameda County Electrical JATC Leave of Absence Request Form

Once filled out, this will go onto the JATC monthly meeting Agenda and it will be voted on. We will notify you once the Board makes a decision.
Date *

Month Day Year
Date
I, Full Name* Request permission for scheduling Leave of Absence time while apprentice classes of related educational training are in session.
I request to schedule the leave time from:
Date* Through Date*
The reason for scheduling my leave of absence time while related instruction classes are in session and missing the classes listed is: *
I am in the blanks* bracket class, and my Instructor is instructor name*.
Signature *

Clear
______________________________________________________________________________________________

For Office Use Only:
Added to the JATC Agenda, meeting of:blanks.
Permission: Granted Not Granted

Date: Date Signature:
Should be Empty: