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Academic Affairs Forms On-line

 

 
Leave/Sabbatic

SAMPLE FORM ONLY - Fiscal Year Professor
FORM DOES NOT WORK/INVALID FORM

SABBATICAL / LEAVE OF ABSENCE FORM

9. Type of Leave

10. Pay Period of Leave

Begin Date
Return Date
selected quarters
not contiguous
(mm-dd-yy)
(mm-dd-yy)
 
11. Academic Year Service
Quarter(s)/Semesters Affected
       Summer       Fall       Winter       Spring  

 
 
6. Address While On Leave
Check box if an international address:   

 
12. Reason for or Specific Purpose of Proposed Leave (for Sabbatical include location while on proposed leave)
 
13. Other Sources of Income While On Leave (Sabbatical - Indicate nature and amount of all income)
 
14. Are You a Principal Investigator? Yes No Name of Substitute: 
 
15. Has the sponsoring agency approved substitute?