Rev. 8/2014
Winthrop University
Richard W. Riley College of Education
Request for Absence from Duties (other than approved travel)
For absences of three (3) days or more, contact Human Resources
Date: ________________________________ Name: ________________________________________
Department: __________________________ Date(s) of absence:______________________________
Purpose of absence
Classes/lessons to be missed
How will they be covered?
Other faculty responsibilities, such as advising, meetings, etc. to be missed
_______________________________________
Faculty Member Signature
Approved:
________________________________________
Department Chair
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signature
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