This Program Faculty – Temporary Vacancy form is to be used to report a temporary leave of absence as defined in Standard E1.08. Use this form when the program director, medical director or principal faculty takes a leave of absence and is expected to return to their role in the program (e.g., family medical leave, short-term disability, etc.).

This form is not to be used to report a change in a position vacancy due to an unfilled position or to update the ARC-PA on an ongoing faculty search. Use the Change in PA Program Faculty form for personnel changes.