Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Excellent communication skills, both verbal and written.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness, and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Worked flexible hours across night, weekend, and holiday shifts.
Managed time efficiently in order to complete all tasks within deadlines.
Organized and detail-oriented with a strong work ethic.
Paid attention to detail while completing assignments.
Used critical thinking to break down problems, evaluate solutions, and make decisions.
Strengthened communication skills through regular interactions with others.
Adaptable and proficient in learning new concepts quickly and efficiently.
Learned and adapted quickly to new technology and software applications.
Proved successful working within tight deadlines and a fast-paced environment.
Developed and maintained courteous and effective working relationships.
Demonstrated strong organizational and time management skills while managing multiple projects.
Education
High School Diploma - Terapy
Canby High School
Canby, OR
EMPLOYEE FAMILY AND MEDICAL LEAVE REQUEST
Terra Nova Nurseries, Inc.
FOR QUESTIONS regarding this form and FMLA leave please contact your HR Generalist:
Name: Veronica Cabello
Date of Request: 2020-07-06
Address: __________________________
Phone Number: __________________________
Date of Hire: 2013-10-11
I. Request for: New Leave Extension or Modification of a Current Leave
II. Reason for Leave (check all applicable):
Your own Serious Health Condition that makes you unable to perform one or more of the functions for your job.
To provide care for a Family member with a Serious Health Condition.
Family member NAME: __________________________ Relationship to Employee: __________________________
Family Member's Date of Birth: __________________________
Birth of your child or placement of a child with you for adoption or foster care.
Expected birth or placement date: ____/____/____
To provide care for a Family Member or Next of Kin who is a Military Service member with a serious injury or illness.
Family member/Next of Kin Name: __________________________
Relationship to Employee: __________________________
A qualifying exigency due to military active duty or call to active duty status of your spouse, son/daughter or parent
Expected date of call-up or active military service: ____/____/____
Parental Leave (OFLA only)
Pregnancy Disabilities (Includes prenatal care, childbirth, & recovery) (OFLA only)
To provide care for a same-gender domestic partner, custodial parent, non-custodial parent, adoptive parent, foster parent, biological parent, step parent, parent in law, parent of same-gender domestic partner, grandparent, grandchild, a person whom the employee is or was a relationship of in loco parentis, biological, adopted, foster or step child of an employee or the child of an employee’s same-gender domestic partner with a Serious Health Condition (OFLA only)
Bereavement (OFLA only)
Non-serious Illness of a Child (OFLA only)
Oregon Military Family Leave (OFLA only)
III. Type/Length of Leave requested:
Single Block of time; Beginning ____/____/____, Ending ____/____/____. Returning to Work ____/____/____.
I understand and agree to the following provisions:
It is my responsibility to provide appropriate certification to Terra Nova Nurseries, Inc. to support this request. When requesting leave to care for a family member, I am required to state the care I will provide and an estimate of the time period during which this care will be provided, including a schedule of intermittent leave or leave on a reduced schedule.
I will be considered to have terminated my employment at Terra Nova Nurseries if I do not return to work or contact the Human Resources Department on or before the intended ending date of my leave.
Any misrepresentation by me in completing this form may subject me to discipline up to and including termination of my employment and I hereby attest to the truthfulness and accuracy of the above information.
I will not engage in any other employment during this leave and acknowledge that such is grounds for immediate discharge.
I will be financially responsible for my share of monthly insurance premiums, if any, and will ensure they are paid promptly upon return of my FMLA/OFLA leave.
I acknowledge that I have received the Terra Nova Nurseries, Inc. FMLA/OFLA Policies.
To Employee: You will receive a written Notice of Eligibility and Rights & Responsibilities, as well as a Designation Notice – notifying you of the applicability of the FMLA/OFLA to your leave and the need for any additional information to support this request.
Human Resources Sign: __________________________ Date Received: __________________________