Form 300 - Application for Leave Without Pay

Please upload a document stating your reason for requesting leave within the AdobeSign document above. Please note that a person requesting a leave of absence without pay is advised to become aware of the conditions of the leave per Article 22 of the Unit 3 – Faculty Collective Bargaining Agreement. For tenured or tenure-line faculty, please complete the form and submit for review and approval to your department chair, college dean, AVP for FA, and the Provost (OAA@humboldt.edu).For temporary faculty, please complete the form and submit for review and approval to your department chair, college dean, and AVP for FA.