Mathematics Absence/Leave Request Form

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Mathematics Absence/Leave Request Form - Academics

Please fill out this form accurately and completely as all of the information contained within the form will be submitted to the Mathematics Department Chair and Physical Sciences Dean's Office for review and final approval.

Please report all applicable proposed outside activities within UC OATS prior to submitting this form : https://aps.ucsd.edu/tools/uc-oats/index.html.

If you have any questions, please email math-apstaff-g@ucsd.edu

Email *

Name *

What quarter(s) are you requesting leave? (Please list quarter(s) in the box below) *

Is the Department of Mathematics your home department? *

Yes

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