Evolution Employment Network - Evolution Hospitality Institute

Evolution Employment Network - Evolution Hospitality Institute

Evolution Employment Network Employee Name: ...

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Evolution Employment Network Employee Name: .................................................................................................................................................................. Department: (Please tick all that apply)

□Evolution Systems for Training and Development □Evolution Hospitality Institute □Evolution Group Training □trainer □field officer □student services □administration □finance □marketing □other_________ Last working day:

............................................

First Day back:

Days absent (excl weekend): ...........................................

.......................................................

Number public holidays in this period: ...........................

Type of Leave ― please tick () one. Annual:



Long Service:

Sick:





Personal (carer/ parental):

Unpaid: Other (Specify)





............................................................................

Reason for Leave: ................................................................................................................................................................ .............................................................................................................................................................................................. .............................................................................................................................................................................................. .............................................................................................................................................................................................. .............................................................................................................................................................................................. Medical Certificate required: Medical Certificate attached:

□ Yes: □

□ No:□

Yes:

No:

Staff Member Signature:

............................................

Date:

.......................................................

Authorised by:

............................................

Date:

.......................................................

ADMIN USE ONLY

□ Information forwarded to payroll □ uploaded against Staff file

Document controlled by: EEN Recruitment Team Version: 2 April 2013