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Eastern Florida State College (Eastern Florida State College)

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Eastern Florida State College
TPDC Handbook (2018) Appendix H
01.2019
APPENDIX H. Faculty Proposal for Sabbatical Leave
Section I:
Name ___________________________________________________ B# __________________________
Campus _________________________________________________ Phone _______________________
Cluster _________________________________________________ Hire Date _____________________
Please check the box for the type of leave being requested:
Short-term sabbatical leave (up to 8 weeks)
Long-term sabbatical leave (longer than 8 weeks)
Section II:
Dates and/or term(s) to be on leave
_____________________________________________________________
Check the appropriate box below and provide the requested information:
Institution to attend/location
_______________________________________________________
Major area of study _______________________________________
OR:
Government agency/corporation assignment or other learning experiences
____________________________________________________________________________
Specific tasks to be completed
____________________________________________________________________________
Specific competency to be gained
____________________________________________________________________________
Section III:
Please provide a statement of your plans for the requested sabbatical leave and indicate how it will
benefit your professional development goals as well as increase your value to the College. Attach no
more than three pages, including your statement and any supporting documentation. Be concise but
complete.
(TPDC Appendix H, cont. next page)
Eastern Florida State College
TPDC Handbook (2018) Appendix H
01.2019
Section IV:
Please sign below, then forward to your Department Chair. The Department Chair/Program Manager
will sign and forward to the Campus Provost, who will sign and forward to the SLSC Chair for review.
1. Faculty Member Signature ___________________________________________________
2. Department Chair/Program Manager Name_____________________________________
Signature*
________________________________________________________________
Date Received
3. Campus Provost Name
_______________________________________________________
Signature*
_________________________________________________________________
Date Received_________________________
*Signatures of Department Chair/Program Manager and Campus Provost indicate receipt of your
proposal only; they do not indicate approval of this request.
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Eastern Florida State College (Eastern Florida State College)

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Completed 15 August 2020

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