THE UNIVERSITY OF ALABAMA IN HUNTSVILLE
SABBATICAL LEAVE APPLICATION

NAME: DATE

ACADEMIC RANK: COLLEGE:

DEPARTMENT/PROGRAM: DATE OF INITIAL APPOINTMENT:

DATES OF LAST SABBATICAL LEAVE:

DESIRED DATES OF THIS SABBATICAL LEAVE: Fall Semester: Date:

Spring Semester: Date:

TERMS OF LEAVE: (Eligible at the end of six or more years of permanent, full-time service)

One semester at full salary:

Two semesters at one-half salary:

TERMS OF LEAVE: (Eligible at the end of eight or more years of permanent, full-time service)

Two semesters at two-thirds salary:

PURPOSE OF SABBATICAL LEAVE: [A written detailed plan for the program(s) of work and/or study that will be pursued
during the sabbatical and how the planned program(s) will enhance the applicant's
professional development must accompany this form. Please indicate whether external
funding is being sought]

(A detailed report of activity and accomplishments must be submitted through the same channels as this application by the end of the first
semester following the completion of the sabbatical).

Signature of Applicant

Approved* ____________________________________________ ______________________________

Disapproved Department/Program Chair Date

(^Recommendation and explanation as to arrangements contemplated and budgetary adjustments, if any, to maintain the department's

program must accompany approval)

Comments: ____________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________

Approved* ______________________________________________ _______________________________

Disapproved Dean Date

(*Recommendation and explanation as to arrangements contemplated and budgetary adjustments, if any, to maintain the department's

program must accompany approval)

Comments: _____________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

Approved _______________________________________________ _______________________________

Disapproved Provost and Vice President for Academic Affairs Date
Comments:______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________

(This Form Together with the Sabbatical Proposal Must Be Submitted to the Chair By January 15 Of The Preceding Year of the Anticipated Leave)

Distribution: Provost; Dean; Department/Program Chair, Applicant sabblvapp 62095

An Affirmative Action/Equal Opportunity Institution