Faculty Leave of Absence

Faculty Leave of Absence

UC San Diego, Department of Sociology
For additional information on Faculty Leave of Absence, please visit our website.

Note: This form is sufficient for absences of 14 calendar days or less which must be reviewed and approved by the Department Chair.

Absences of 15 calendar days or more require an additional detailed memo, incorporating the information on this form, to be submitted to the department chair for review. Your memo must then be forwarded to the Dean and/or Executive Vice Chancellor for approval along with the official Academic Leave of Absence (ALAS) form.

Finals Week - Faculty requests for a leave of absence during finals week require CEP (Committee on Education Policy) approval when the faculty member is instructor of record or mentoring an associate-in that quarter. If this is the case, please submit at least 4 weeks in advance.

For questions, please contact Brenda Guzman at b1guzman@ucsd.edu.
First Name*
Last Name*
E-mail*
example@ucsd.edu
Leave of Absence Dates*
Total Days
Calculated Field
Your leave of absence is 15 days or more.
Destination while on leave*
Do you have teaching obligations during your Leave of Absence?*

YesNo
Is the Leave of Absence during Finals Week?*

YesNo
I do have teaching obligations for the quarter(s) leave. My assigned classes will be covered by a regular faculty member as named or rescheduled to the noted date:*
I assert that I have no teaching obligations for the quarter(s) leave that is/are being requested*
Purpose*
Typing in your full name, signifies a signature to confirm the above information. *
Paper
Once you click the "Submit", a copy of this form will be emailed to the email you provided above.
Should be Empty: