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WEST CHESTER UNIVERSITY OF PENNSYLVANIA (West Chester University of Pennsylvania)

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WEST CHESTER UNIVERSITY OF PENNSYLVANIA
SABBATICAL LEAVE REPORT FORM
Revised April 2013
Reports are due: Fall Sabbatical February 15 Chair and Dean
February 28 Provost
Spring Sabbatical October 15 Chair and Dean
October 31 Provost
____________________________ ______________________ _________________
Name Department Date
1. Sabbatical Taken: From __________________ To ___________________
2. Please use the below table to list the sabbatical objectives (from sabbatical proposal), the projected tangible
accomplishments, and indicate the achievement status of each objective:
Sabbatical objectives
Projected tangible accomplishments
Achieved/ Not
achieved
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3. Do you think that you had a successful sabbatical? Why or why not? (be specific)
4. How has your sabbatical influenced your future professional development, primary work, and institutional
responsibilities?
5. Keeping in mind the timeline that was submitted in your sabbatical proposal, how did you use your time
during the sabbatical?
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6. If you were unable to achieve all your sabbatical objectives as shown in item #1, what is the projected
timeline for doing so? Please elaborate if there were unexpected directions and/or avenues of
research/accomplishments that appeared during your sabbatical.
Submit one copy of the report to the chair, then dean, then provost. Each should sign the form to verify receipt
of the report. Report will be sent to your Personnel file.
a. ______________________________ ______________________________
Chairperson Date
a. ______________________________ ______________________________
Dean Date
a. ______________________________ ______________________________
Provost Date
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WEST CHESTER UNIVERSITY OF PENNSYLVANIA (West Chester University of Pennsylvania)

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Completed 1 September 2020

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