Extended Leave Form NBC extended leave form for current students. Form must be submitted 1 day prior to departure. See Student Handbook for details about Extended Leave.NOTE: Please contact staff during business hours of 8am-5pmName(Required) First Last Email(Required) Departure Date(Required) MM slash DD slash YYYY Length of Leave (days)Please enter a number greater than or equal to 1.Have you made the Deans aware of your plans?(Required) Yes Have you signed out with the Food Services Staff?(Required) Yes If needed, have you found a substitute for your Student Work responsibilities?(Required) Yes N/A Who is your Student Work substitute?(Required) If needed, have you informed your Student Ministry supervisor?(Required) Yes N/A Are you on Academic Probation?(Required) Yes No Please check with the Academic Dean prior to requesting extended leave. Δ