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GRADUATE DIVISION UNIVERSITY OF CALIFORNIA, SANTA BARBARA REQUEST FOR LEAVE OF ABSENCE CENTRAL FELLOWS
 

Summary: GRADUATE DIVISION UNIVERSITY OF CALIFORNIA, SANTA BARBARA
REQUEST FOR LEAVE OF ABSENCE CENTRAL FELLOWS
REQUEST FOR CHANGE IN FELLOWSHIP SCHEDULE
See the Leave of Absence Information sheet at: http://www.graddiv.ucsb.edu/academic/petitions/LOA.htm
Name ____________________________________________________________ Perm # ___________________
A central fellow wishing to request a change in the schedule of the fellowship must submit the request in writing to the
Graduate Dean. The request should include the specific change being requested. A written statement of support by the
Department Faculty Graduate Advisor addressing these issues is required. (Attach additional sheets if necessary)
Student's Statement: (1) why the change is being requested and (2) the value of the altered fellowship payout schedule
will have on your program.
***************************************************************************************************************************************
__________________________________________________________________________________________________________
Student's signature Date
__________________________________________________________________________________________________________
Student's Committee Chair's or Research Advisor's signature Date
Department Faculty Graduate Advisor's Statement: (1) support student's request for the change and (2) approve
aspect of Dept. support that will be affected by the change to the fellowship year.
***************************************************************************************************************************************
___________________________________________________________________________________________________________
Dept. Faculty Graduate Advisor's signature Date

  

Source: Akhmedov, Azer - Department of Mathematics, University of California at Santa Barbara

 

Collections: Mathematics