THE BELONGING CO.
STAFF LEAVE APPLICATION FORM

Once submitted, your application will be forwarded to a Senior / Executive pastor for review.  You will be notified via email whether or not your leave has been approved.

Please note: a GP's Medical Certificate must be provided if more than two days are taken in sick leave.

LEAVE FORMS MUST BE SUBMITTED A MINIMUM OF 4 WEEKS PRIOR TO LEAVE REQUESTED (OR IMMEDIATELY AFTER RETURNING FROM SICK LEAVE)

Name *
Name
Cell Phone *
Cell Phone
Type Of Leave *
First Day Of Leave *
First Day Of Leave
Last Day Of Leave *
Last Day Of Leave
Submission Date *
Submission Date
DO NOT FILL OUT BELOW
This section is for executive staff only
Date Signed
Date Signed