FORMAT FOR LEAVE WITHOUT PAY PROPOSAL
Proposal for leave without pay should be submitted in a single copy through the department chair or director and the
dean to the appropriate vice president. There is no printed form except for the application form. The narrative
should be typed on plain paper and should follow the format below.
I. PLAN
What is it you propose to do during the leave period?
This section should be a specific description of your plans for the leave period, including location, timeline
with objectives and activities and activities identified, people or organizations involved, and the nature and
scope of your proposed activities. Describe how both you and the
university will b
e
nefit, directly or
indi
rect
ly, as a result of the proposed leave.
II. CONDITIONS OF EMPLOYMENT UPON RETURN
Conditions for employment to be in effect upon return from leave without pay must be agreed to in writing
in advance of the leave by the individual and the
University.
At a minimum, the conditions must state the following:
1. Position Title or Rank upon return
2. Salary considerations upon return
3. Evaluation criteria and procedure
