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Sabbatical Request Form
Employee Handbook Section 600.10
Name: ______________________________________ Department/School: _________________________
Date of Request: ______________________________ Sabbatical Period Requested: ________________
Sabbatical Objectives: Brief description of the research or project in which you plan to be engaged.
Tangible Outcomes (publications, presentations, etc.)
How, and when, will you report the results to the Sabbatical Committee or to the University in general?
(over)
Chairs or Deans Approval:
How will the faculty members teaching/advising/committee load be dealt with during the sabbatical period?
What expenses (e.g. additional adjunct expense) do you anticipate if this sabbatical is approved?
My signature indicates my support for this request: __________________________________ Date: _____________
Sabbatical Committee Action:
Approve Deny Remand Date: ______________________
If denied or remanded, state reason(s)
Board of Trustees Action:
Approve Deny Remand Date: ______________________
If denied or remanded, state reason(s)
NOTE: Approval of sabbatical is only for the specific term requested.
Any changes of the term of sabbatical must be approved by the Sabbatical Committee.
FILENAME \p H:\spawluk\Committees\Sabbaticals\Sabbatical Request Form 012003.DOC
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