INSTRUCTIONS:
DISTRIBUTION:
1. Submit form seven working days in advance of absence.
Originals – V.P. for Academic Affairs
2. Approval required before departure.
Copy – Faculty
Copy – Faculty Personnel File
C:\Users\Abby\Downloads\faculty-approved-absence.docx
Created on 11/14/02 @ 11:30 a.m. jar
BAY MILLS COMMUNITY COLLEGE
Faculty Application for Approved Absence
Name ________________________________________________ Date ________________________
Absence from scheduled work starts: _____________________ Return to work:____________________
Time/Month/Day/Year Time/Month/Day/Year
Reason for absence: ________________________________________________________________________
Destination: _______________________________________________________________________________
Arrangements for Professional Responsibilities Scheduled During this Absence
Class Time Day/Date Room Substitute Instructor/Other Arrangements
Special Conditions:
__________________________________________________________________________________________
__________________________________________________________________________________________
Faculty Signature ______________________________________________ ________________________
Date
V.P. Academic Affairs __________________________________________ ________________________
Date