Leave Application Form

Name*

First NameLast Name

Email*

Cell Number*

Department*

Leave Type*

Paid Family Responsibility only applies to the following categories, staff working more than 4 days a week and staff who have worked for more than 4 months, as per the BCEA.

Family Responsibility (paid) applies to:*

Reason for Leave Application*

Leave Start Date (first day not at work)*

Leave End Date (last day not at work)*

Number of Days Not at Work:*

Name of Locum (if applicable)

Please upload your supporting documents (e.g. sick notes)

Policy

Please refer to the Torah Academy Policy for further information on conditions and eligibility for leave.

An employee requesting leave must submit his/her leave form:
1. at least 15 days before the employee intends to commence leave; or
2. as soon as is reasonably practical, if it is not reasonably possible to give 15 days' notice.
A Doctors certificate may be required for sick leave:
1. Where the employee is absent for more than 2 (two) consecutive days
2. If an employee is absent for more than 2 (two) occasions in any 8 (eight) week period, then on the next occasion a doctor’s certificate is required.
3. The leave is before or after a non-school day (Public Holiday, Jewish Holiday, weekend).
4. A pattern of absenteeism has been established

Signature*