Get Professional Leave Application

This guide provides clear and supportive instructions for completing the Professional Leave Application online. Follow the steps outlined below to ensure that your application is filled out accurately and submitted properly.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the Professional Leave Application form and open it in your editor.
2. Begin by entering your name in the designated field. Follow this by filling in your PGY level and the date of your application.
3. Indicate the dates of your requested absence. Fill in the 'From' and 'To' fields with the appropriate start and end dates for your leave.
4. Provide the reason for your absence by selecting from the available options: 'Vacation' or 'Conference.' If you select 'Conference,' specify the name and date of the event as well as its location.
5. If your reason for absence does not fall into the previous categories, please specify it in the 'Other' field.
6. Complete the sections regarding days taken to date for both vacation and professional leave, as well as the number of days remaining for the current academic year.
7. Review the note indicating that vacation/professional days cannot be carried forward to the next academic year.
8. Sign the form in the designated area, indicating the date of your signature.
9. Have your Chief Resident of Rotation, Rotation Supervisor, and Program Director sign the form, ensuring that their signatures are dated.
10. Once all necessary fields are completed and signatures obtained, save your changes, and prepare the form for submission. You may choose to download, print, or share the form as needed.

Complete your Professional Leave Application online today to ensure timely processing of your request.