EPISCOPAL DIOCESE OF SANTIAGO CHILDREN’S LEARNING CENTER INC.

,
ST. WILLIAM’S PARISH CAMPUS
Butigue Paracelis Mountain Province

LEAVE FORM
2020

_______________________ _________________________ ______________

Name (First Name, Middle Name, Last Name) Position Date of Filing
Leave applied for (please check) Reason/s (please mark)

Vacation ( ) Maternity ( ) Illness ( ) Personal ( √ )

Sick leave ( ) Official ( ) Others (specify) ______________________
_____________________________________

No. of day: ___ days From: __________

To: __________
Number of days taken previously within the year, type of leave, total number of days taken and leave
balance. Please fill in the space provided below before having the form indorsed or approved.

Date History Total no. of days taken Leave balance

_____________ _____________ ____________________ _________________

_____________ _____________ ____________________ _________________
_____________ _____________ ____________________ _________________
_____________ _____________ ____________________ _________________
_____________ _____________ ____________________ _________________

Endorsed By:
______________________ _____________________________
Department Head Name & Signature of Applicant

Date:__________________ Date: ________________

INSTRUCTIONS:
1. Application for vacation or sick leave/s should be made 2 days in advance except emergency cases where
leave/s shall be properly filled upon reporting. Failure to file 2 days in advance shall be charge to leave without
pay.
2. All types of leave/s regardless of how many days shall be made on this form.
3. Sick leave/s is allowed to employee who is himself / himself or the employee attending to his / her sick partner/s
and or child / children & spouse.
4. Presence in seminars / conferences offered to employee is treated vacation leave UNLESS THE MANAGER/
Chairperson/Officer in charge (OIC) before the applicant goes on leave.
5. Accomplish this form in:
a. Preferably duplicate for office file and personal file of the applicant.

REV. FR. JOHNY T. SARANGAY

Signature over printed name
SCHOOL HEAD