F
5.8
Marin Community College District
SUBMIT THIS FORM TO THE PROFESSIONAL AFFAIRS
COMMITTEE (PAC)
VIA HUMAN RESOURCES
REQUEST
FOR UNPAID LEAVE
Pursuant
to provisions of Article 5.8 of the contract between the Marin Community
College District and the United Professors of Marin/American Federation of
Teachers, I hereby request an unpaid leave of absence:
Name of Applicant:
_________________________________________________________________________
Period of Leave:
___________________________________________________________________________
Purpose of
Leave:
_____ Study
_____ Educational
Travel
_____ Research
_____ Organizational
Service
_____ Public Service
_____ Private-Sector
Employment
_____ Other (please specify)___________________________________________________________
Explanation:
Any banked unit(s)? Yes No
If yes - number
____________________________________________
Signature
Date: _______________________________________
UNPDLVER