Name : e
Dat :
De partme nt:
Semester:
Release Credits:
Department Chair (If any)
Date
Not
Recommended recommended
Division Chair (if any)
Date
Appro d Di oved ve sappr
Dean
Date
UH Hilo
Release Time Request
Re as on for requesting re duce d te aching load:
ADMN
(Administration)
CDEV
(Curriculum / Program Developmen t)
CGCC
(Congress Chair or Committee Chair)
D CHR
(Department Chair)
D CHR
(Divis ion Chair)
Describe the re duced te aching load request.
G ADMN
(Grant / Contract Adminis tration)
OTA
(Non-Credit / Other Teaching Assignment)
RES
(Research)
O ther:
List the course(s) NOT be ing taught if released time is approve d.
De scribe how the course(s ) above will be covered. If receiving outside funds , indicate
s ource .
Not
Recommended
Recommended
Revised: 4/24/2010