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Locations
Birmingham
Huntsville
Enrichment
Infants
Toddlers
Preschool and Kindergarten
About
Awards
Blog
Careers
Contact
MENU
HR Action Request Form
Employee Name
*
First
Middle Initial
Last
Campus:
*
Clift Farms
Greystone
Jones Valley
Patchwork Farms
Redstone
Trace Crossings
Valleydale
Employee Hire Date:
*
Month
Day
Year
Effective Date of Change:
*
Month
Day
Year
Which action are you requesting?
*
Disciplinary Action
Special Circumstance (promotion or pay raise)
Status Change
Leave Status
Other
Disciplinary
Disciplinary Action Requested:
TPIP (Teacher Performance Improvement Plan)
Admin Leave with Pay
Strike 2
Termination
List Violated Policy:
Upload Needed Documents:
Drop files here or
Select files
Accepted file types: pdf, jpg, png, Max. file size: 8 MB.
* Employee Statements * Performance Evaluation * Classroom Evaluation * Previous Write-Ups * Scholarship Agreement (if applicable) * Video Footage * Any other supporting information or evidence
Special Circumstances
Type of Request:
Promotion
Pay Raise
*employee must be in good standing
New Pay Rate:
Title of New Position:
Reason for Promotion:
Upload documents needed for promotion:
Drop files here or
Select files
Max. file size: 8 MB.
* Performance Assessment * Classroom Assessment
Upload documents needed for pay raise:
Drop files here or
Select files
Max. file size: 8 MB.
* Performance Assessment * Classroom Assessment
Status Change
Type of status change:
Changing to Part Time
Changing to Full Time
Changing to Seasonal
Changing to Sub
New Offer Letter Signed
(select all that apply)
Date of Change:
Month
Day
Year
Benefits Lost:
PTO Accrual Rate:
Leave Status
Type of request:
FMLA
Short Term Disability Claim
Upload documents needed for FMLA:
Drop files here or
Select files
Max. file size: 8 MB.
* FMLA Certificate * FMLA Notification
Upload documents needed for FMLA:
Drop files here or
Select files
Max. file size: 8 MB.
* STD Claim Form
Leave effective date:
Month
Day
Year
* Submit once all PTO has been exhausted
Return to work date:
Month
Day
Year
* Submit once all PTO has been exhausted
Physician's return to work document:
Drop files here or
Select files
Max. file size: 8 MB.
* STD Claim Form
Other
Please provide more details:
Digital Signature
Name of Admin completing form:
First
Last
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Enrichment
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