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Get University Of Michigan HR36610 2015-2024

Plete these items and obtain proof of registra on from the educa onal ins tu on in which you are enrolled. UMID: Middle Name: First Name: Last Name: Educa onal leave dates requested FROM: TO: Educa onal Ins tu on (you must be enrolled as a full- me student): Degree Persued: This educa onal program will qualify me for the following posi on at the University of Michigan: DATE: SIGNATURE: PROOF OF REGISTRATION Please cer fy the following informa on: Name of U-M Employee Enro.

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