Department of Radiology

Research Leave Request Form

** This form is only for the Department of Radiology PhD faculty, Postdocs, and select Research staff **


THIS FORM REPLACES THE PAPER FORM. Please fill out and submit this form for each type of leave request. It will get routed to your Supervisor for approval. Our Program Assistants will record your request in the department master sheet.


To check all your Smartsheet leave requests, please go to the Radiology Research Dashboard: https://app.smartsheet.com/b/publish?EQBCT=fc9c819fd1614b428ee24d2097c4a1a, under "Smartsheet Reports", select "Radiology Research Leave Request Report" (you must log in with your CU credentials)


Questions? Please contact:

Emma Agatston, email: emma.agatston@cuanschutz.edu

Tori Rodriguez, email: tori.rodriguez@cuanschutz.edu

Nadine Lucero, email: nadine.lucero@cuanschutz.edu

If you are selecting "No Leave", please indicate the month via Start and End Dates

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Attach any supporting document, i.e.:

  • Department, PI/Supervisor confirmation
  • Abstract acceptance
  • Conference information (name, location, date)
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