Work Leave Request

Work LEAVE REQUEST FORM

Students obtaining work leave permission must have this form submitted 48 hours before leaving campus or a $5.00 late fee incur.

An approved or denied response will be sent to the email provided.
If this leave request form is denied, corrections must be made and an updated leave request form must be submitted for approval.
Leaving campus before receiving an approved leave request form will result in a conduct violation in accordance with the student handbook p.30.
A work leave does not count against a student's allotted weekend leaves.
THIS FORM IS NOT FOR MINISTRY OPPORTUNITY OR WEEKDAY/WEEKEND LEAVE REQUEST.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Destination *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Company *

Manager's Name *

Manager's Number *

Departure Date *

MM/DD/YYYY

Departure Time *

Date Return *

MM/DD/YYYY

Return Time *

Submit