Sick Leave Pool Enrollment Updated on: December 6, 2010 I have been provided with a link to the Operational Guide outlining the sick leave pool plan and regulations. I am aware of the contents and that any assessments made of my accrued sick leave by the Administering Committee of the bank shall be non-refundable and non-transferable. I also agree to the initial assessment of 24 hours (3 days) from my personal sick leave account.Assessment for New Enrollee: (hours) Additional Contribution: (Hours) Use this line to make an additional contribution at enrollment for contributions during subsequent enrollment periods.Total to be deducted from my accrued sick leave: (hours) Designation of Primary PersonI designate the following individual as the primary person who will apply to the pool for sick leave in the event I am unable to do so: Name* First Last PhoneI authorize the above reduction from my accrued sick leave balance.As certification for the information listed above my Austin College email address will act as my signature. Name:* First Last Austin College Email Address*