Overview
Work History
Education
EMPLOYEE FAMILY AND MEDICAL LEAVE REQUEST
Timeline
Generic

Veronica Cabello

Canby,OR

Overview

1
1
year of professional experience

Work History

Daitary Aid

Marquis Hope Villege
Wilsonville, OR
11.2024 - Current
  • 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 ____/____/____.
  • Intermittent leave; anticipated schedule __________________________.
  • Reduced schedule of __________________________.
  • 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.
  • Employee Sign: __________________________ Date: __________________________
  • 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: __________________________
  • FMLA & OFLA Leave Request Form (09/2018)

Timeline

Daitary Aid

Marquis Hope Villege
11.2024 - Current

High School Diploma - Terapy

Canby High School
Veronica Cabello