Sabbatical Leave Request Form
Please fill out the form below to request a sabbatical leave.
Full Name
First Name
Last Name
Email
example@example.com
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title
Department
Supervisor's Name
First Name
Last Name
Start Date of Sabbatical Leave
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date of Sabbatical Leave
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Sabbatical Leave
Expected Outcomes
How will your absence be covered during your sabbatical?
Have you obtained approval from your supervisor?
Yes
No
Have you obtained approval from the HR department?
Yes
No
Additional Comments
Submit
Should be Empty: