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Petition for Parenting Leave
(Effective August 1, 2013)
The Parenting Leave Policy states that a graduate student must meet the following criteria in order to make use of a
parenting leave and that only one parent may apply for leave, if both are students at Saint Louis University:
• b
e enrolled as a full-time graduate student in either a master’s or doctoral program
•
be i
n good standing with her or his academic department
• b
e the primary caregiver to a newborn or adopted child
The period for approved leave is six (6) weeks. This form should be submitted to the graduate advisor at least 60
days prior to the expected start of the leave. The University understands that emergency situations might interfere
with this timeframe, and for such documented cases, the 60 days rule will be waived. For students on any type of
assistantship, a detailed impact plan regarding accommodations for the assistantship assignment must be appended.
Students must be enrolled during the leave period. If additional time is needed, the regular process for filing a
petition for a leave of absence should be used: http://www.slu.edu/Documents/eas/Leave_of_Absence.pdf
If the assistantship is in a department other than that housing the graduate program, the leave must be
approved by the supervisor as well as the academic advisor.
Student Information:
Name: ___________________________________________________
Last name, First name, Middle Initial
email: ________________________ phone: ________________________
Banner ID: ________________________ Advisor: ________________________
Graduate Program/Department: ________________________ Degree: ________________________
Dates requested for Parental Leave: from ____ / ____ / _______ to return on ____ / ____ / _______
Please attach a detailed explanation of the impact such a leave has for assistantship or fellowship assignments
and what plans are or being put in-place for covering the impact. The explanation should include all
appropriate areas such as research, teaching, exams, etc.
_____________________________________________ ___________________________________________
Student’s signature Date Advisor’s signature Date
_____________________________________________ ___________________________________________
Department Chair’s signature Date Associate Dean’s signature Date
Supervisor’s signature Date
PetitionforParentingLeave
OfficeofGraduateEducatio
For students with assistantship assignments outside of their academic programs:
__________________________________________________________
Supervisor's Signature Date
Revised 09/2017
