Leave Request Form 2012-2013

The form to request a leave for academic year 2012-2013 is attached below in Word format as well as pdf format for your convenience. This form is also available online at http://www.yale.edu/fas/html/fasfaculty.html . If you wish to request a leave, please submit the completed form to your department or program chair by Thursday, December 1, 2011.

University policies on Leaves of Absence for ladder faculty are described in detail in the Faculty Handbook (online at http://provost.yale.edu/sites/default/files/Yale-Faculty-Handbook.pdf). Feel free to contact me (diane.rodrigues@yale.edu, 203-436-1697) or your cognizant provost if you have questions regarding eligibility.

Members of the non-tenured ladder faculty who have submitted leave proposals to their department chairs must also submit this form. The memorandum sent in September describing the procedures for non-tenured faculty leaves is posted online at http://provost.yale.edu/news-announcements/procedures-non-tenured-faculty-leaves-2011 .

Note to Department and Program Chairs: Once you have collected and reviewed all Leave Request Forms from the faculty in your department, please send them all together to Anita DePalma, Room 307, Warner House, 1 Hillhouse Avenue by Friday, December 9, 2011.  For non-tenured faculty, be sure to attach a copy of the message from the cognizant dean approving the leave proposal to the faculty member's leave request form.