REQUEST FOR FACULTY RELEASE TIME
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NAME OF FACULTY _____________________________________________________________
RANK _________________ TITLE________________________________________________
COLLEGE OF_____________________ DEPARTMENT OF_______________________
NUMBER OF CREDIT HOURS TO BE RELEASED ____________
ACCREDITING BODY REQUIREMENTS ________________
Release time request is for:
Academic Semester/Year: _________________________________
(Dates From/To)
Reason(s) for Release Time Request and/or from normal teaching load:
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Chair Duties
Director Duties
Program Coordinator Duties
Externally Funded Grant
Other: (Please explain)
If release time is supported by externally funded grant, complete Part B.
PART B:
Source of Funds Supporting Release Time (Grant): Department Receiving Funds (State):
Replacement Person: __________________
Budget Name: ________________________ Budget Name: ________________________
Budget Number:_______________________ Budget Number:_______________________
Budget Amount:$______________________ Budget Amount:$ ______________________
Action on Request:
Approved Not Approved
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Faculty Member
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Project Director (Part B Only)
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Department Chair
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Dean
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Research & Sponsored Programs (Part B Only)
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Provost/Vice President for Academic Affairs
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Date
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Rev October 2019
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Vice President for Administration and Fiscal Affairs
