Application for Short-Term Pregnancy/Parental Leave (STPPL)

This form is to be filled out by the student requesting leave.


Graduate students may complete this form to request up to six consecutive weeks of Short-Term Pregnancy/Parental Leave (STPPL) for the birth or adoption of a child. In some cases, the student may request Extended STPPL. Please answer all of the following questions completely and accurately.


INSTRUCTIONS:

  1. The student completes this web-form and clicks "Submit".
  2. The site will create a PDF with the student's information and email a link to the student and their academic coordinator.
  3. Download the PDF of your STPPL Application form. This form requires signatures of the student requesting leave, their committee chair, and their graduate program director.
  4. Attach the agreed-upon Academic Plan to the signed STPPL Application form and submit these documents to your academic coordiantor for review and subsequent forwarding to the Graduate School within myWSU.


Please refer to the Graduate School Policies and Procedures (GSPP 5.A.7) for additional information.

Student Information

This address will receive a link to download the completed Application for STPPL form.

Are you an international student?*
Select your visa status:*

Graduate Degree Information

Please provide the following information regarding your current graduate program.

Select
Caret IconCaret symbol

Examples: Anthropology, Molecular Bioscience, Soil Science, etc.

Select your campus:*

Graduate Leave Request Details

Are you currently on an assistantship appointment?*

Eligible salaried ASEs are provided up to six (6) consecutive weeks of paid leave for the period directly before or after the birth or adoption of a child. See WSU/UAW Contract, Article 30.2.1 for additional information.

Will you be claiming extended Short-Term Pregnancy/Parental Leave (STPPL) while on assistantship appointment?*

Eligible ASEs may utilize any combination of awarded sick leave, vacation leave, or leave without pay while on assistantship appointment to extend their STPPL for up to an additional six (6) weeks (WSU/UAW Contract, Article 30.2.2).


All time off associated with this extended STPPL must be accounted for through the Manage Absence Calendar each pay period during the dates listed below to avoid overpayment and assure proper accounting of leave entitlement. It is your responsibility to request time off in Workday to account for your time away.


Extended leave is employment related and provides leave from your assistantship appointment only. This additional leave does not apply to your academic program.