Faculty Request for Absence from Duties form, June 2015
Winthrop University
College of Visual and Performing Arts
Request for Absence from Duties (other than approved travel)
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
Approved:
___________________________________
Department Chair
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