Request for Waiver of 120 Day Service Requirement before Sponsorship of
Permanent Residency Petition for Professional Staff positions
Name of Employee:
WKU ID Number:
Department & Position:
Reason for request of Waiver:
*Sponsorship of permanent residency is not a contract for employment, or a representation of indefinite
employment. All terms of employment responsibilities and job requirements remain as expressed in the employee’s
job description and pursuant to the terms of the Faculty Handbook.
Supervisor’s Approval for this Request:
Signature: ________________________________________ Date:
Printed Name of Supervisor:
Division Approval for this Request:
Signature: ________________________________________ Date:
Printed Name of Division Head:
Office of Academic Affairs Approval for this Request:
Permission for waiver of 1 year waiting time policy and permission to initiate Permanent
Resident application for the above named individual is:
_____ Granted
_____ Not Granted
Signature of the Vice Provost of Academic Affairs or Designated Representative:
Printed Name Vice Provost or Designated Representative:
Date: