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  • Option 2 - LOA Requests 2023-24 - Google Forms

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    This document is a leave of absence request form for staff at Tavistock College. It collects information such as the dates and times of absence, the reason for absence such as professional development or a medical appointment, whether cover is needed, and confirmation that the absence was approved by the staff member's line manager. The form requests supporting documentation and arrangements for things like duty cover when absent.

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    Option 2- LOA requests 2023-24 - Google Forms

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    This document is a leave of absence request form for staff at Tavistock College. It collects information such as the dates and times of absence, the reason for absence such as professional development or a medical appointment, whether cover is needed, and confirmation that the absence was approved by the staff member's line manager. The form requests supporting documentation and arrangements for things like duty cover when absent.

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    © All Rights Reserved
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    14 views5 pages

    Option 2 - LOA Requests 2023-24 - Google Forms

    Uploaded by

    d.dolding
    This document is a leave of absence request form for staff at Tavistock College. It collects information such as the dates and times of absence, the reason for absence such as professional development or a medical appointment, whether cover is needed, and confirmation that the absence was approved by the staff member's line manager. The form requests supporting documentation and arrangements for things like duty cover when absent.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 5

    10/3/23, 11:31 AM TAVISTOCK COLLEGE 2023 All LEAVE OF ABSENCE REQUEST - LOA

    TAVISTOCK COLLEGE 2023


    All LEAVE OF ABSENCE
    REQUEST - LOA
    Please make sure you have your LM's approval before you submit this.

    * Indicates required question

    1. Email *

    2. Date of Absence *
    Please ensure you submit your LOA 7 days prior to the planned date.

    Example: 7 January 2019

    3. Last Day of Absence - only if LOA is more than 1 day.

    Example: 7 January 2019

    4. Forename *

    5. Surname *

    6. Staff 3 letter INITIALS (e.g. ABC) *

    https://docs.google.com/forms/d/1fb0om6JQVP3kHyfJAEnDVKUo_N7kNrEKcmke-OZU63U/edit#settings 1/5
    10/3/23, 11:31 AM TAVISTOCK COLLEGE 2023 All LEAVE OF ABSENCE REQUEST - LOA

    7. Teacher or Support Staff? *


    (SS Includes- AT's, Caterers, Caretaker, Admin)

    Mark only one oval.

    Teacher

    Support Staff

    8. Select your reasoning *

    Mark only one oval.

    Meeting

    College Business/Event

    Personal

    CPD

    On-site Fixture/Trip

    Off-site Fixture/Trip

    Medical appointment

    Hospital appointment

    TOIL

    Paid Leave

    Unpaid leave

    ECT

    ITT

    Union

    Exams

    https://docs.google.com/forms/d/1fb0om6JQVP3kHyfJAEnDVKUo_N7kNrEKcmke-OZU63U/edit#settings 2/5
    10/3/23, 11:31 AM TAVISTOCK COLLEGE 2023 All LEAVE OF ABSENCE REQUEST - LOA

    9. WHEN ARE YOU ABSENT- WHAT PERIODS ARE YOU TEACHING


    The first column is for when you are absent.
    The second Column is for if you teach a lesson/tutor for that period. This includes 6th
    form lessons.

    Tick all that apply.

    Period
    Time Periods
    you
    you are you
    teach
    absent teach
    6th

    P1

    P2

    Recess
    1

    P3

    P4

    KS4
    Tutor

    KS3
    Tutor

    P5

    After
    School
    Club

    10. Is a cover teacher required for you absence? *

    Mark only one oval.

    Yes

    No

    https://docs.google.com/forms/d/1fb0om6JQVP3kHyfJAEnDVKUo_N7kNrEKcmke-OZU63U/edit#settings 3/5
    10/3/23, 11:31 AM TAVISTOCK COLLEGE 2023 All LEAVE OF ABSENCE REQUEST - LOA

    11. Do you have a duty during your planned absence? *

    Tick all that apply.

    Recess 1
    Recess 2- KS3
    Recess 2- KS4
    No Duty

    12. Who have you arranged to do your duty cover? (INITIALS)

    13. COURSE /MEETING TITLE/EVENT - reason you're not in school *

    14. COURSE PROVIDER, if appropriate. Or more information about absence

    https://docs.google.com/forms/d/1fb0om6JQVP3kHyfJAEnDVKUo_N7kNrEKcmke-OZU63U/edit#settings 4/5
    10/3/23, 11:31 AM TAVISTOCK COLLEGE 2023 All LEAVE OF ABSENCE REQUEST - LOA

    15. Cost of course- Subsidiesed? - please ALSO send any information to


    a.savage@tavistockcollege.org titled CPD course information. Leave blank if not
    applicable.

    16. If you have arranged internal cover please state staff members name below. If
    nore than one cover, please let all staff members and the period(s) they are
    covering.

    17. If possible upload evidence of planned absence- e.g. Appointment note or CPD
    course invite.

    Files submitted:

    18. I confirm that this course and LOA has been approved by my line manager. This *
    will not be approved if LM approval has not been confirmed.

    Mark only one oval.

    YES

    This content is neither created nor endorsed by Google.

    Forms

    https://docs.google.com/forms/d/1fb0om6JQVP3kHyfJAEnDVKUo_N7kNrEKcmke-OZU63U/edit#settings 5/5

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