SAMPLE LETTER: REQUEST TO APPOINT - DOC by m7G9AJ

VIEWS: 370 PAGES: 1

									Sample Letter:
Chair’s Request for faculty leave of absence



Date


William L Lowe, Jr, MD
Vice Dean for Academic Affairs
Northwestern University Feinberg School of Medicine
Rubloff Building, 12th floor
Chicago Campus

Dear Dr. Lowe:

I have agreed to a leave of absence for ________________ (faculty name).

Dr. ______________ has asked for a leave for the following reason: (academic, medical,
military, personal, childbearing, childrearing, adoption, other) effective ____________ (date)
with a planned return from leave date of ______________ (date). (Provide other details as
pertinent)

(Include salary arrangement: paid leave, unpaid leave, partial pay, etc)

I request you approve Dr. _________________’s leave of absence.


Sincerely,




Department Chair

(Division Chief may write/co-sign this letter but the Provost requires signature of Department
Chair, as well)

								
To top