Leave Worksheet
Information you will need to make your decisions:
You will need to consult a school calendar
______Number of sick days you have left in your account
______Number of sick days you will accrue during your leave with pay
______Total Sick Days you may use from your account
______Number of annual leave (vacation) days you have left in your account
______Number of annual leave (vacation) days you will accrue during you leave with pay.
______Number of bonus annual (vacation) days you have in your account.
Ø These are days that were given to non-certified employees or employees who did not receive an increase in salary in the early 2000’s.
______Total Number of Annual Leave (vacation) days you may use from your account
______Number of personal leave days you have in your account
Ø (Only certified personnel subject to the calendar are eligible.)
Ø Personal Leave cost the employee $50.00 per day. No deduction for teacher workdays.
Ø Normally Personal Leave must be approved by a supervisor 2 weeks in advance
______Number of Extended Sick days you wish to request
Ø Only certified personnel subject to the calendar are eligible.
Ø Extended sick leave can only be used for personal illness, not for family member illness.
Ø You must have exhausted all sick, annual, bonus and personal leave before using extended.
Ø You may use 20 per year
Ø Extended sick days cost the employee $50.00 per day.
______Number of Advanced Sick days you wish to request
Ø Advanced sick must be approved by the Superintendent
Ø The Superintendent may advance you the number of sick days you will earn for the remainder of the school year
______Number of Donated Sick days you wish to take (You can only do this when you are completely out of sick leave and annual leave.) Must be approved by the superintendent – See section 04.3.4 of the NC Benefits manual for more detail.
Ø Annual vacation leave may be donated by anyone who works for McDowell County Schools or an immediate family member who works for another approved state agency may donate not more annual vacation leave than he/she could earn in one year. Additionally, the amount donated must not reduce the donor’s annual vacation leave balance below ½ of what that person can earn in the year. This annual vacation leave becomes sick days for you. The minimum amount of annual vacation leave donated must be ½ of a day.
Ø Sick leave may be donated by family members or non-family members. The maximum amount received from a non-family member is 20 days. A donating family member may not reduce his/her sick leave below ½ of what that person can earn in a year. The minimum amount of annual vacation leave donated must be ½ of a day.
If the Local Board of Education approves it, you may take a leave of absence without pay for up to one calendar year from the date of birth or adoption to care for a newborn child or a newly adopted child. For purposes of educational continuity, with approval of the local board, the unpaid leave of absence may be extended for the remainder of the school year when the leave would otherwise end in the latter half of the school year.
Leave Worksheet
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You are requesting leave from ______to ______.
Ø For a normal pregnancy, you may take 1 week prior to you due date and 6 weeks after the baby arrives. The six weeks is counted from the birth of the child even if it runs through periods when school is not in session, i.e. summer break or year-round school breaks.
Ø If you have a doctor’s note that confirms problems with the pregnancy or if you have a C-Section, you may take a longer period of time.
Ø You may take up to 1 year of family leave without pay.
List the days in each category you wish to take to cover your leave.
Holidays during the leave period (I plan to use a total of ____ days in this category.)
List dates covered ______
Annual Leave (Vacation Days) If you are planning to come back during this school year, be sure to save enough days to cover the annual leave (vacation days) that are built into the calendar.
(I plan to use a total of ____ days in this category.
List dates covered: ____________
______
Extended Sick Leave – only for certified personnel (I plan to request a total of ___ days in this category.)
List dates covered: ____________
______
Personal Leave Days – only for certified personnel subject to the calendar I plan to use a total of ___ days in this category.)
List days covered: ______
Donated Sick Leave (I plan to use a total of ___ days in this category.)
List days covered: ______
______
Leave Without Pay I plan to use a total of ___ days in this category.)
List days covered: ______
______
Have you accounted for all of the days you plan to be out?
Rev. 09.2015