Administrator/Faculty Leave Slip Form

Complete the form below and click the Show Printable button at the bottom to see a printable version of the faculty leave slip.

Request for Permission to be Absent from Regular Duty
(to be used by unclassified faculty and administrators)

This form shall be filled out and presented for the consideration of the college president or his designee prior to absence from campus which is not regular duty, except that in cases of illness or other unforeseen emergencies the employee shall call in as soon as possible to the college operator at 763-433-1100, and shall complete this form on the date of return to duties.

Name
Dates of Absence
in terms of days
Employee ID Number
or ARCC Tech ID
Reason for Absence
(in terms of days)
Kind of Leave
Requested
Plan for Coverage of
Assignment
Date Filed

 

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