Article XIII, Section 13.3 of the CUNY Bylaws provides Leaves for Special Purposes:
Special leaves may be granted to members of the instructional staff for personal emergencies of not more than 10 working
days may be granted with pay by the president at his / her discretion.
APPLICATION FOR SPECIAL LEAVE FOR SPECIAL PURPOSE
OHRM -Special Leave for Special Purpose Form - 2018
Contract Title
Empl. ID
Department
Name
Employee Information:
FOR COLLEGE HUMAN RESOURCES USE ONLY
TO BE COMPLETED BY PRESIDENT OR HIS/HER DESIGNEE
Supervisor's Name
Phone
I am requesting the following period
Begin Date
End Date
Approved
Not approved
Name
Title
Reason for Leave
Total Leaves For Special Purposes (Days) requested and approved for current academic year
Reviewed and approved:
Title
Name
Signature
Signature
Signature
College