East Side Teachers Association

ESTA Sick Leave Bank

Notification of Additional Days Donation

East Side Teachers Association

Sick Leave Bank

Name: ____________________________        Current Site:________________________

                                        please PRINT legibly

Additional Days Donating_________________

I hereby indicate my desire to donate additional days in the East Side Teachers Association Sick Leave Bank.  I understand that my participation giving additional days is irrevocable. 

Signature: ____________________________    Date: ____________________________

This form must be returned to Marisa Hanson, President of ESTA

intradistrict:  District Office

    fax:  (408)  272-7569

             mail:  888 South Capitol Ave, San Jose, 95127