Request Parental Leave for Graduate Assistants

Before completing this form, please review the full Parental Leave for Graduate Assistants university policy below.

Parental Leave for Graduate Assistants (Policy 7580)

Request Form

This form is used by eligible Graduate Assistants who would like to request a parental leave of absence due to a birth or adoption of a child. Parental Leave must be requested at least 60 days prior to the child's anticipated due date/adoption date, absent any unforeseeable circumstances.

Name(Required)
First Last
Boise State Email(Required)
Enter Email Confirm Email
Boise State ID Number(Required)
What department or unit do you work for?(Required)
Other(Required)
Please list your department or unit here if you do not see it above.
What is your GA Title?(Required)
Supervisor's Name(Required)
First Last
Supervisor's Email(Required)
Enter Email Confirm Email
Estimated Date of Birth, Adoption, or Placement of Child(Required)
MM
DD
YYYY
Requested Begin Date of Parental Leave(Required)
MM
DD
YYYY
Phone
This field is for validation purposes and should be left unchanged.

Request Parental Leave for Graduate Assistants

Request Form

Graduate College