CONTACT, HOURS & APPOINTMENTS
Cecilia Carlsson, Admin Support760.795.6861 email@example.com
Denise Stephenson, Faculty Director760.795.6667 (voicemail only)firstname.lastname@example.org
1: Enter the Live Online Center
2: Upload Paper for Video Feedback
3: Make a Zoom Appointment
NOTE: You must submit this form at least five working days (Monday – Friday) in advance
of the time you are requesting off.
I would like to request these dates off: From: To: All day These times:
During these dates, I’m scheduled to work at:OceansideSan ElijoCommunity Learning Center
Will this request affect a scheduled classroom assignment? Yes If yes, provide Instructor(s): Class(es): No
Will you be using your accrued Healthy Families Leave (HFL) hours for this time off?**According to the Healthy Workplaces, Healthy Families Act of 2014 (AB 1522), HFL
time can be used for the following purposes: "diagnosis, care, or treatment of an
existing health condition of, or preventative care for, yourself or a family member
(parent, child, spouse, domestic partner, parent-in-law, sibling, grandchild or grandparent)
or for specified purposes if an employee is a victim of domestic violence, sexual
assault or stalking."If Yes, then please also submit a request in Workday by clicking in the "Absence"
icon and then "Request Absence" You will also be able to view your HFL available balance
in that section. Yes No
Comments or questions about your request?
Community Learning Center
Technology Career Institute