Faculty Time Off Request
This form should only be used by Faculty.
Employee Name
*
First Name
Last Name
E-mail
*
example@example.com
Start Date
End Date
Date you will resume work
Type
*
Please Select
PTO
Sick Day
Other
Department Supervisor
*
First Name
Last Name
Department Supervisor Email
*
example@example.com
Additional Comments
Submit
Should be Empty: