Campus Overnight Leave Form
Name
*
First Name
Last Name
Email
example@example.com
Estimated Departure date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Estimated Return date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Leave
*
Bereavement leave - time requested by a resident for time to grieve a loss or manage any responsibilities due to death
Personal leave - time requested for "small necessities" (school appointments, errands, etc)
Jury duty - time requested to perform their civic duty and attend court
Maternity/Paternity leave - time requested for taking care of a newborn or recovering from the delivery
Professional leave - NAPS delegate/directed events. (Example: ASI Convention, impact missions, 3ABN, etc)
Sick leave - time requested to recover from an illness or take care of their health
Family illness leave - time requested to care for a family member with a serious health condition
Other
Reason for leave
Details about your leave
Please list your various responsibilities and how they will be covered while you are gone
*
Please be sure to discuss with your supervisor who will cover your responsibilities or if you have completed your duties prior to departure
Back
Next
Member Status
*
GEMMS Student
NALA Student
NAPS Worker or Jr. Worker
NAPS Staff/Noncontractual Resident
Will any minors be with you? Please list any minors who are campus residents who will be traveling with you.
Important Notes
Please verify that you understand the following by checking the box next to "I understand"
Please choose one of the following. I understand that:
*
Prior to my return I must receive a negative COVID test result and submit that to exec.staff@napsglobal.org
Or upon my return take a COVID test
Or be on quarantine for five days [This means you can not enter any on campus buildings except your house, ride in any vehicles with anyone and must maintain appropriate social distancing when outdoors.
Submit
Should be Empty: