Office of Graduate Studies Edinboro University of PA
Request for Professional Release Time
for Graduate Students
Last Name
First
Middle
Address
Program of Study
Reason for Request:
Date of Professional Activity
Anticipated Number of Work Hours Missed
[ ]
I do support this request
[ ]
I do not support this request
Site Supervisor
Date
[ ]
I do support this request
[ ]
I do not support this request
Program Head
Date
[ ]
I do support this request
[ ]
I do not support this request
Dean, Graduate Studies
Date
cc:
Graduate Office
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