CALIFORNIA STATE UNIVERSITY / College Dean / College Date Dean / /
Organization
Applicant College / CALIFORNIA STATE UNIVERSITY / DOMINGUEZ HILLS / /
Position
Chair _______Department / Associate Vice President / President / _________President / Chair / Vice President / Signature Date _________President / Approvals _______Department Chair / Chair of the Department / Provost/Vice President / Assistant Vice President / administrator / /
CALIFORNIA STATE UNIVERSITY, DOMINGUEZ HILLS APPLICATION FOR LEAVE WITHOUT PAY Before completing this application, carefully read Article 22, Leave of Absence without Pay, of the Unit Three (Faculty) Agreement, some prov