Fillable Departmental Work Life Grant Application EMPLOYMENT ACCOMMODATION AND

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Departmental Work Life Grant Application EMPLOYMENT ACCOMMODATION AND

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  • 3 check-boxes
  • 19 other fields

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1
Departmental Work Life Grant Application
EMPLOYMENT ACCOMMODATION AND LEAVE FOR PREGNANT AND PARENTING GRADUATE
ASSISTANTS (GTA/GRA/GA)
The Kansas State University Graduate School, in collaboration with the College Deans and the Provost, has
established a Parent Work-Life Grant Program to provide temporary financial assistance to enable departments to
continue support for graduate students during the time immediately following the birth of a child, adoption, or foster
care placement.
This form should be completed by an academic unit requesting contributions from their college and the Graduate
School to help fund employment accommodation and leave for pregnant and parenting graduate students. Please
review the Academic and Employment Accommodation and Leave for Pregnant and Parenting Graduate Students,
collectively referenced as the “Policy,” in the Graduate Handbook (https://www.k-state.edu/grad/graduate-
handbook/chapter1.html).
Procedure
Departments may request financial assistance equivalent to a graduate assistantship stipend for up to six weeks when
a student requests parental leave as permitted under the Policy. These funds may be used in a variety of ways to
ensure that the research/teaching effort is not adversely impacted and the graduate student receives paid parental
leave at the same level of their regular stipend pay. There is a maximum of six weeks of funding support per family.
The department should submit this form with the approved Graduate Student Parental Leave Academic and/or
Employment Accommodation Application and supporting documents.
During the accommodation semester, the student will be: GTA GRA GA
(if on a combined appointment, check all that apply)
Total assistantship FTE:
Current bi-weekly stipend:
$
Source of current stipend support:
If source is a grant, does funder allow graduate assistant to be on reduced time assistantship?
Yes No
If source is a grant, does funder allow use of grant funds for support during parental leave?
Yes No
Is the funding request to hire a temporary employee to perform the duties of the GTA/GRA/GA on leave?
Yes No
Please indicate duties to be performed:
2
Confirmation of financial support:
Department total support:
$
College total support:
$
Graduate School total support:
$
By signing below, we agree with the Employment Accommodation, if requested, are agreed upon in advance,
and funding while on leave.
Department head:
Signature:
Date:
College dean:
Signature:
Date:
Graduate School dean:
Signature:
Date:
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Departmental Work Life Grant Application EMPLOYMENT ACCOMMODATION AND

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Completed 21 August 2020

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