Time-Off Request

Name(Required)

First Last

Today's Date(Required)

Type of Leave(Required)

Start Date(Required)

End Date(Required)

What is the purpose of this request?(Required)

What areas of your ministry need to be covered by another intern, staff member or volunteer? Please list the name(s) and contact information of the individuals who will be covering for you. Please specify what each person will be doing.(Required)

Practicum Approval(Required)

I have informed my practicum director and have permission to be away.

College Approval(Required)

I understand that submission of this form does not guaranteee time off until I receive written approval from college staff.

Ministry

Academics

Student Life