Author: UAA

Sabbatical leave Application AY2016-17 DUE TO OAA Last Monday in October
Faculty who wish to apply for sabbatical leave should consult their respective CBA contract
Article 5.7 (UAFT) Article 16.6(UnAc)

Name of Applicant: ___________________________________________________________
Academic Rank:______________________________________________________________
Department: _________________________________________________________________
College/School: _______________________________________________________________
Date of initial hire in full-time faculty position: ____________________________________
Date Tenured: _______________________ Date of Post-Tenure Review: ______________

First Time Applicants: Faculty applying for sabbatical leave for the first time must have completed at least 5 years of service in a academic rank position within the university system. They may apply in their 5th year of service for a sabbatical leave to be taken in their 6th year.
Applicants: Faculty applying for sabbatical leave for the second or subsequent time must have completed 5 years of service since last sabbatical and may apply in their 5th returning year of service for a sabbatical leave to be taken in their 6th year.
Check One:
First application—Number of years completed in full time position ________
Second of subsequent application—Date of last sabbatical _________
List leaves longer than 3 months that you have had since the date of hire or since your return from the last sabbatical leave (include type, dates, and funding)
Verification that above information is correct (OAA): ____________________________________________

Type of Sabbatical
Academic year Sabbatical (one academic year at a rate of 6 months salary)
Semester Sabbatical (one semester not to exceed one semester’s salary)
Dates of proposed sabbatical leave: From _____________ to _____________
List names and dates of foreign countries you intend to visit during your sabbatical leave (for Risk Management)
Other non-sabbatical leave funds and income anticipated:

Attachments to include with application
* Statement of plan for sabbatical leave
* Current CV
* Documentation of cooperative arrangements
* Copy of invitation or authorization from another institution is leave is dependent on another institution

Statement of plan for sabbatical leave
Attach an outline of your plan for the sabbatical leave. Please include statements which address the following:
A. Objectives of your plan
B. Summary of proposed activities
C. Anticipated time of completion of project
D. Anticipated benefits of the leave to your own goals and those of UAA
E. Efforts to secure outside funding if the that funding is relevant to this application. If leave is dependent
upon award of outside funding, please indicate.
F. If leave is dependent upon utilization of facilities of another institution, please indicate and attach copy of
letter of invitation or authorization.

Your signature below indicates that your are familiar with all obligations a faculty member has regarding a sabbatical, as described in your respective CBA, and specifically that you are willing to remain employed by UAA for at least one year after the completion of the term of your sabbatical leave.
Signed:__________________________________________ Date:_________________________________

Recommendations

Approved _________________ Disapproved ________________ Priority _________________
Comments:
_____________________________________________ ____________________________
Signature of Department Chair Date

Approved _________________ Disapproved ________________ Priority _________________
Comments:
_____________________________________________ ____________________________
Signature of Dean Date

Approved _________________ Disapproved ________________ Priority _________________
Comments:
_____________________________________________ ____________________________
Signature of Provost Date

Approved _________________ Disapproved ________________ Priority _________________
Comments:
_____________________________________________ ____________________________
Signature of Director Date