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VISTAs in the Piedmont
Emergency Leave Form
Each VISTA is allotted 5 emergency leave days. Emergency Leave must fall into the following category: “immediate family member (spouse, parent, sibling, child, grandparent, or guardian) becomes critically ill or dies." Emergency days must be approved by the Program Sponsor, so please submit this form at least 24 hours in advance. Emergency Leave will not count against Personal Leave. If additional days are needed, the request has to be approved by the CNCS State Program Director.
If you have any questions, please contact your VISTA Leader.
*
Indicates required field
Name
*
First
Last
Please provide the dates you expect to be out of the office.
*
Please provide the details of the circumstances for which you are requesting Emergency Leave.
*
My site supervisor has already been made aware of my absence on these days.
*
Yes
No
Submit
Home
Program Benefits
Service Opportunities
Application Process
Our Program, Your New Home
Welcome to VISTA
>
OSOT
>
OSOT Day 1
OSOT Day 2
Meet the VISTAs
Member Resources
Ending Service
Alumni
Host a VISTA
Apply to Host a VISTA
Supervisor Resources
>
New Supervisors
Contact