Request for Sabbatical Leave


NAME:

DEPARTMENT:

CURRENT SALARY:

DATE OF APPOINTMENT AT CSU:

TITLE/RANK:

PROPOSED DATES OF LEAVE:

DATE OF LAST SABBATICAL LEAVE:

Specific Arrangements for Covering Assignments During Absence:

 

Detailed Sabbatical Plan: Please refer to Section F.3.4. of the Academic Faculty and Administrative Professional Manual for a complete overview of the sabbatical leave policies. Your request must specify how your sabbatical activity a) will result in your professional growth, b) will enhance Colorado State’s reputation and the students' educational experience at our institution, and c) will increase your overall level of knowledge in your area of expertise. Please include specific goals to be achieved while on sabbatical. Attach additional sheets as required. Attach copy of current resume'. This request is due in the Provost’s Office on October 1.

Final Report: A final report must be submitted to the Department Head who will forward it to the Dean and the Provost and Senior Vice President for review and submission to the Board of Governors within three months of the completion of the sabbatical leave. In addition to the report, please include a two-paragraph summary of your activities and benefits derived for submission to the Board of Governors. Failure to meet the goals stated in the sabbatical plan will result in denial of all subsequent sabbatical requests, per CCHE policy.

If planned activities are modified or canceled, it is imperative to have these changes approved. Sufficient detail regarding planned sabbatical activity changes must be provided to allow appropriate evaluation prior to proposed effective date.


 

 

 

 

 

 

APPROVED:

__________________________________________

Department Head

 


___________________________________________
Dean




___________________________________________
Director

_________________________________________
Provost and Executive Vice President

 

 

___________________________________________
President

revised September 2009