Office of the Provost

CHAIR, DEAN, OR DIRECTOR APPROVAL FOR STUDY LEAVE FOR TENURED FACULTY

APPLICANT'S INFORMATION
LAST NAME
FIRST NAME
EMAIL		[Please enter a valid GMU Email Address]
UNIT		Select a Unit College of Education and Human Development College of Health and Human Services College of Humanities and Social Sciences College of Science College of Visual and Performing Arts Institute for Conflict Analysis and Resolution Krasnow Institute for Advanced Study School of Law School of Management School of Public Policy The Volgenau School of Information Technology and Engineering
DEPARTMENT (If Applicable)		(Enter your 4 character department code)

CHAIR, DEAN, OR DIRECTOR INFORMATION
LAST NAME
FIRST NAME
OFFICE PHONE		- -
EMAIL		[Please enter a valid GMU Email Address]
MASON MAIL STOP NUMBER	MS
NOTE OF SUPPORT: (Please cut and paste from Word document)