Library Archival Research Leave of Absence Form
Request a leave of absence for archival research purposes. Please complete all required fields to ensure your application is processed efficiently.
Applicant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Affiliation
*
Supervisor's Name
*
First Name
Last Name
Supervisor's Email Address
*
example@example.com
Leave Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Leave End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Archival Research (Institution/Library)
*
Purpose and Description of Research
*
Attach Supporting Documents (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Applicant Signature
*
Submit Leave Request
Submit Leave Request
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