Leave of Absence Submission Form » Graduate Education » College of Pharmacy

Graduate students employed as graduate assistants at the UF College of Pharmacy should use this form to initiate the leave of absence process. This form is NOT intended to document regular personal time off requests -- those types of requests should be directly communicated with the faculty supervisor.

Student Name(Required)

First Last

Student UFID(Required)

UF Email(Required)

Faculty Advisor Name(Required)

Faculty Advisor UF Email(Required)

Department(Required)

Type of Leave Request(Required)

Leave Category(Required)

Please note that mental health concerns can be considered medical reasons for leave, and may be eligible for paid medical leave through FMLA.

Start Date of Leave(Required)

First day of the leave of absence, when you will no longer be performing COP GA duties.

End Date of Leave(Required)

Last day of the leave of absence. You will resume COP GA duties on the following business day.