APPENDIX BnvanhoosDiane L. Wolfe202008-04-01T17:59:00Z2008-04-01T17:59:00Z11801030County of Albemarle82120811.0000APPENDIX BPIEDMONT REGIONAL EDUCATION PROGRAMCHARLOTTESVILLE, VIRGINIA 22901REQUEST FOR PROFESSIONAL LEAVE*NAME: __________________________________________________________SCHOOL: ________________________________________________________DATE (S) OF ABSENCE: ___________________________________________PURPOSE: ________________________________________________________________________________________________________________________________________________Give a brief explanation of how you will share your professional leave experience with others in your school:i.e. Staff meeting, department/grade meetings, in-service, written summary__________________________________________________________________________________________________________________________________________________________________EXPENSES WILL BE COVERED BY __________________________________i.e. Individual, Ivy Creek Fund, Cedar Mountain Fund____________________ _________________________________(date)(signature)____ APPROVED____ NOT APPROVEDPRINCIPAL/COORDINATOR ________________________________________ APPROVED____ NOT APPROVEDEXECUTIVE DIRECTOR ________________________________________* Personnel Policies – Section GCL-R