Vice Provost for Academic Affairs: Sabbatical Application Form, Page 1 of 2

Vice Provost for Academic Affairs, The University of Arizona

Sabbatical Application Process: Application Form

THE UNIVERSITY OF ARIZONA
APPLICATION FOR SABBATICAL LEAVE

Applicant's Name	Date
College/Vice President	Department
Period Requested for Sabbatical Leave

List below all positions held at The University of Arizona. Start with the latest position, and describe all leaves of absence including sabbaticals. Each year should be accounted for.

Position	Dates	Full Time or Fraction of time	Academic (A) or Fiscal (F) Appointment
_______________________	___________________	___________________	___________________
_______________________	___________________	___________________	___________________
_______________________	___________________	___________________	___________________
_______________________	___________________	___________________	___________________
_______________________	___________________	___________________	___________________

Additional compensation during sabbatical leave

Granted: sources and amounts	Applied for: sources and amounts
_________________________________________	____________________________________________
_________________________________________	____________________________________________
_________________________________________	____________________________________________
_________________________________________	____________________________________________

Please append the following:

A typed description of the proposed program for the sabbatical. Include the goals to be attained, travel plans, and the benefits to the applicant and the University.
A curriculum vitae not to exceed 10 pages and following the format for promotion, with the emphasis on material from the last six years.
Department head’s evaluation and at least one additional letter of evaluation should accompany the application to the college/vice presidential advisory committee.

If granted sabbatical leave, I agree to abide by the terms of the Sabbatical Leave Policy, and to submit a final report during the second semester after returning from sabbatical leave.

__________________________________ _________
(Signature of applicant) (Date)

All copies of sabbatical leave application should be forwarded for signature.
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Sabbatical Application Process
Vice Provost for Faculty Affairs
UAINFO

This site is maintained by
Office of the Provost, The University of Arizona
Administration Building 512, PO Box 210066
Tucson, Arizona 85721-0066
phone: (520) 621-1856 fax: (520) 621-9118
email
September 2005
http://academicaffairs.arizona.edu