Name: 
E-Mail Address:
Date of Leave (ex: FALL 200X, SPRING 200X, OR FULL YEAR 200X-0X):
Rank: 
Department: 

Faculty Status:
Tenured (Sabbatical Leave)
Tenure-track (Sabbatical Leave - Pending granting of Tenure in Spring)
Tenure-track (Pre-Tenure Research Leave)
Non-Tenure (Sabbatical Leave) 

Statement of Purpose:

Accomplishments:

Relation of prospective value to the College (teaching effectiveness, contribution to scholarship, publication, exhibition, etc):

Budget Reconciliation (if applicable):
PLEASE NOTE: Original, itemized receipts for all items $10 or over must be attached to expense reports. Your credit card will and the receipt showing the total amount paid for restaurant charges are not considered adequate proof of purchase.

DUE DATES:
Fall Leaves: the following April 15
Spring Leaves: the following November 15
Full-year Leaves: the following November 15

Click "Send" to submit application to the Office of the Dean of the Faculty.

If you have questions or need assistance, please contact the Office of the Dean of the Faculty at X5705.