POMONA COLLEGE OFFICE OF THE REGISTRAR
Temporary Advisor Change Form
TEMPORARY CHANGE DURING FACULTY SABBATICAL/OTHER LEAVE
STUDENT NAME STUDENT ID NUMBER
CAMPUS BOX NUMBER / LOCAL MAILING ADDRESS CAMPUS / LOCAL PHONE NUMBER
My advisor, will be on leave for the semester/year.
In his/her absence, I will meet with as my advisor.
I will resume meeting with my regular advisor in the semester.
I agree to advise the
above named student:
Signature of temporary advisor Date
EA 11/09