Faculty Leave Request
Name
*
First Name
Last Name
Email
*
Reporting Area
*
Please Select
Accounting & Business Administration
Agriculture
Applied Clinical, Educational, and Professional Programs
Communication, Media, and Experience Industries
Computing, Data, and Mathematical Sciences
Education
Engineering and Technology
Humanities
Illinois Institute for Rural Affairs
Law Enforcement and Justice Administration
Natural Sciences
Nursing, Applied Health, and Human Performance
Quad-Cities Academic Initiatives
Social Sciences
Visual and Performing Arts
Your school director's email address
*
An approval email will be sent to this address. ENSURE THAT THE EMAIL ADDRESS IS CORRECT.
Please use the
School of Visual and Performing Arts' leave request form
to request your time off.
Please indicate what date(s) you are requesting time off for
*
Type of Leave
*
Please Select
University Obligation
Professional Conference/Event
Vacation/Personal Day
IL Paid Leave Act
Bereavement
Family Sick
Other
Please indicate relationship to person you are requesting bereavement leave for
*
(e.g. aunt, spouse, parent, grandparent)
Please explain the "other" type of leave:
*
Please describe the Professional Conference/Event:
*
Please explain the University Obligation:
*
Please indicate how you plan to make up or provide alternative office hours for students during the time you will be unavailable during your regularly scheduled contractual office hours:
Please indicate how the class(es) you will be unable to teach during your absence will be covered, including any arrangements made with another faculty member:
Submit
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