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Renewal Leave Grant Recommendation Form
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10
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1
Today's Date
*
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-
Date
Year
Month
Day
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2
Your Name
*
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First Name
Last Name
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3
Your Email
*
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example@example.com
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4
Your Role
*
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Pastor/Staff-Parish Relations Chair
Administrative or Unified Board/Council Chair
District Superintendent
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Pastor/Staff-Parish Relations Chair
Administrative or Unified Board/Council Chair
District Superintendent
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5
Grant Applicant's Name
*
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First Name
Last Name
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6
Date of Meeting
*
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-
Date
Year
Month
Day
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7
Decision
*
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Approve
Approve, with reservations
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8
Decision
*
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Approve
Deny
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9
Comments regarding the decision:
*
This field is required.
Please provided a detailed response regarding the justification for the decision.
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10
Your Signature
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