Leave Request

[Press the TAB key to move from field to field] [Do NOT use the ENTER key]

To:	Date:

From:

Type of Leave:

Annual	Military

CEAL (Child Education Activity Leave)	Personal (Full-Time Faculty Only)

Compensatory	Professional

Educational	Sick

Jury Duty	Without Pay

Date(s) of Absences:

From:	To:	Hours Used:
From:	To:	Hours Used:
From:	To:	Hours Used:
Total Hours Used:	0.00

Comments:

Electronic Signatures

Date:

Date:

Date:

Date:

(Chancellor approval is only needed for leave of more than 5 days)

Date: