Continued Access Alternative FMLA Request

An alternative LOA arrangement may be considered for a student that does not want to take a formal LOA (due to parental or caretaking duties) but wishes to continue in their courses with alternative scheduling in place. The student may choose to follow the underlined standard operating procedure for alternative FMLA arrangements: Week off after the birth of the baby/qualifying FMLA event After the week off (for up to 6 weeks): In person lab attendance Virtual pod attendance Weekly check-ins with Learning Services to ensure adherence to curriculum Weekly check-ins with student affairs May qualify for delayed exams

Please list a number where you can be easily reached regarding your application.

Phone
Select
Caret IconCaret symbol

Describe how you plan to keep up with content during your leave.

Alternative FMLA Committment

By checking the boxes below, you are committing to the following:

In person lab attendance*
Virtual pod attendance*
Weekly check-in with Learning Services to ensure adherence to curriculum*
Weekly check-in with Student Affairs*