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GSM Request for Leaves of Less than 7 Calendar Days
All requests are routed to GSM Associate Dean Chelle Yetman.  Please use Forms Online to request a leave for more than 7 calendar days or for a reason other than professional development.

Academic policy governing leave for professional development can be found in APM-752 at http://www.ucop.edu/academic-personnel-programs/_files/apm/apm-752.pdf.  

Academic policy governing all types of leave can be found in APM-700 at http://www.ucop.edu/academic-personnel-programs/_files/apm/apm-700.pdf.  
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First Name *
Last Name *
Email Address *
Purpose of Leave *
Start Date of Leave *
MM
/
DD
/
YYYY
Return Date of Leave *
MM
/
DD
/
YYYY
Destination *
Institution and/or City, State, Country
The following arrangements have been made for my classes:
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