COMM GA Time Off Report/Request Form COMM G.A. Time Off Report/Request This is a report of or request for 3 days or less of time off or leave. If your request is for 4 or more days, please consult with one of the department administrative staff. Enter your first and last name.* First Last Select your major advisor from the drop-down menu.*David AtkinSaras BellurRoss BuckJohn ChristensenSharde DavisAmanda DenesKirstie FarrarMark HamiltonKen LachlanCarolyn LinRory McGloinKristine NowakAnne Oeldorf-HirschDiana RiosLeslie SnyderArthur VanLearSelect your course supervisor(s). Check all course supervisors that you have for the current semester.* David Atkin Saras Bellur Ross Buck John Christensen Sharde Davis Amanda Denes Kirstie Farrar Mark Hamilton Ken Lachlan Carolyn Lin Rory McGloin Thomas Meade Kristine Nowak Anne Oeldorf-Hirsch Diana Rios Leslie Snyder Steve Stifano Arthur VanLear Select the start date of your time off report/request.* Indicate the end date of your time off report/request.*Note: If this request/report is for a single day off, put the same date in both the start and end fields. What duties would you normally have during this period of time?*(ex. Hold 2 hours of office hours; teach one class of COMM 2310W.)What arrangements will you make to cover or reschedule these duties if this request is approved?*(ex. I will reschedule my office hours for later in the week, and I will ask Joe Schmoe to give a guest lecture to my class on 9/12/16.)Provide any additional information pertinent to your time off report/request here.