REQUEST FOR TIME OFF/AWAY – FACULTY –
Department: _____________________________
Name: _____________________________________
Conference Name or Continuing Education:
(These days will not be charged against vacation nor float time. If you will not be completing an Authorization to Travel form, you must complete this section)
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Conference/Continuing Education Date(s): ___________________________________________
Request for Vacation and Float Holiday
I request approval to take:
Vacation leave: Dates- ________________________________________
Float Holiday: Dates- _______________________________________
Other: ___________________ Dates- __________________________________
Total No. of days off: _______________
Supervisor Approval: (Faculty/Staff Signature and Date)
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(Supervisor’s Name – Printed) (Supervisor’s Signature and Date)