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Unpaid Parental Leave Request

EVERETT PUBLIC SCHOOLS
Human Resources Deparment
Director: Elaine Monge

Please complete the form below. Required fields marked with an asterisk *

This submission will be reviewed by the Superintendent.
Submitting this form does not guarantee approval of your Unpaid Parental Leave.

If you have any questions please contact the HR Department.

Your Name*

Answer Required

Job Title*

Answer Required

EPS Work Location *

Answer Required

Your EPS Employee ID Number

Answer Required

2. This leave will begin on:*

Answer Required

3. This leave will end on:*

Answer Required

Please attach your written request for Unpaid Parental Leave for the Superintendents Review.*

Answer Required

Choose a file or drag it here.

Confirmation Email

Confirmation Email *

Email Required