Southwest Vermont Supervisory Union

Form #106

246 South Stream Road Bennington, VT 05201-9295 Telephone: FAX:

Date:      I,            

802-447-7501 802-447-0475

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  to be charged against my earned vacation time. 

 

 

 

, am requesting Vacation Time on 

        Signature 

 

 

 

 

 

DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

  Supervisor’s Recommendation:          Approved                                Supervisor’s Signature      Comments:                        

 Denied 

 

 Referred to Superintendent 

   

   

   

            Date 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

Superintendent’s Action:                       Superintendent’s Signature    Comments:                        

 

 Approved   

 

 

 Denied 

   

   

   

   

        Date 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

On Schedule Calendar: 

by:

Bennington, Mt. Anthony Union High School, North Bennington, Pownal, Shaftsbury, Woodford Distributed 7/15/05

Form 106 - Vacation Time Request.pdf

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