CONTACT, HOURS & APPOINTMENTS
Cecilia Carlsson, Admin Support760.795.6861 ccarlsson@miracosta.edu
Denise Stephenson, Faculty Director760.795.6667 (voicemail only)dstephenson@miracosta.edu
MiraCosta CollegeWriting Center, MS 91 Barnard DriveOceanside, CA 92056
NOTE: You must submit this form at least five working days (Monday – Friday) in advance of the time you are requesting off.
First Name:
Last Name:
Email:
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 personal business (PB) hours for this time off?**According to the Healthy Workplaces, Healthy Families Act of 2014 (AB 1522), PB 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.” Yes No
Comments or questions about your request?
Community Learning Center
Oceanside
San Elijo
Technology Career Institute