Fill - Free fillable POST SABBATICAL LEAVE REPORT APPROVAL FORM (Boise State University) PDF form

Rev. 01/22/20

POST SABBATICAL LEAVE REPORT APPROVAL FORM

Sabbatical Report for: _________________________________________ EID: _____________________

Department: ________________________________________________

College: ____________________________________________________

Period of Leave: ______________________________________________ (ex.: Fall 2019; Spring 2020; Full-Year 2019-2020)

Per BSU Policy #4400, please review the report, indicate your acceptance/non-acceptance of the report and

forward to the next appropriate person. Thank you for your assistance in this matter.

☐ Acceptable ☐ Not Acceptable ________________________________ ______________

Department Chair Signature Date

☐ Acceptable ☐ Not Acceptable ________________________________ _______________

Dean Signature Date

☐ Acceptable ☐ Not Acceptable ________________________________ _______________

Provost & Vice President for Date

Academic Affairs Signature

The Sabbatical Leave Report accompanying this approval form has been received at the Boise State

University Library Archives.

______________________________________________________ _______________

University Archives Representative Signature Date

After signing this form, The University archives representative will forward the form to the faculty member

whose final report was approved and archived.

Rev. 01/22/20

INSTRUCTIONS FOR SUBMITTING YOUR POST-SABBATICAL LEAVE REPORT

Within one month of the start of classes in the semester of their return to the university, the faculty member must

submit a written report of sabbatical activities and accomplishments to their department chair. The report must:

1. State proposed goals and a summary of work completed toward the goals; and

2. Contain information on how the new knowledge will be utilized in continuing his /her institutional

responsibilities and any other benefits to the university as a result of the sabbatical leave.

3. The Post Sabbatical Leave Report Approval form must be attached to the front of the written report.

Upon receipt of the approval form and report, the Department Chair will review the report. Acceptance of the

report will be acknowledged by signing the approval form. The approval form and report will be forwarded to

the Dean. Providing there is concurrence with the Chair’s review, the Dean will sign the approval form and will

forward the approval form and report to the Provost for review. If accepted, the Provost will sign the approval

form and forward the approval form and report to the University Library for placement in the Archives. The

University Archivist will return a signed copy of the final report approval form back to the faculty member. This

form will be returned to the faculty member within one month after submission of the report.

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