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BioE Leave Request Form

Due December 31 for the following academic year.
2. Proposed period of leave (select one) *This question is required.
3. Dates of most recent sabbatical leave. (Leave blank if no previous leave.)
6. List your regular course offerings and describe how coverage will be provided in your absence.
Space Cell Course #SemesterCoverage Plans
Course 1
Course 2
Course 3
Course 4
8. List your regular committee obligations & describe how coverage will be provided in your absence
Space Cell Committee / Service ObligationCoverage Plans
#1
#2
#3
#4