Student Services Staff Leave Request Form

Please complete this form ONLY if you are requesting vacation, personal leave, compensation time, or unpaid leave. When possible, please give at least three days notice, though not required. If you are requesting Medical Leave do not complete this form, contact Human Resources. Please note that we are discouraging any planned leave during the first two weeks of the quarter. *Refer to Article 10 of the ACE Agreement for information on leaves.

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Please enter your first and last name. This constitutes your electronic signature.