GUIDE FOR PREPARING SABBATICAL LEAVE
PROPOSALS
MICHIGAN TECHNOLOGICAL UNIVERISTY
HOUGHTON, MICHIGAN

Current application forms are available from the Chair of the Sabbatical Leave Committee.

  1. General Information

    1. Name_________________________________________________

    2. Academic rank or title____________________________________

    3. Academic organization unit_______________________________ (Department, Division, Institute)

    4. Applicant's term of employment (check one):

      5. 9 months ____

      12 months ____

    5. Date for which sabbatical leave is requested:

      6. Beginning_______________

      Ending_______________

    6. Potential source of income from fellowships, grants, or other outside source

      7. ______________________________________________________

      ______________________________________________________

      ______________________________________________________

      Estimated amount_______________

    7. Summary of scholarly activities at Michigan Technological University: (Include dates of employment at Michigan Tech)

    8. Does the applicant agree to return to his/her position at Michigan Tech for the year following the sabbatical leave, if granted? (If you fail to return to the University, reimbursement of the salary earned during your sabbatical leave is required.) __________

    9. Does the applicant agree to provide a written report of results of work obtained during the sabbatical leave to the Sabbatical Leave Committee?_______________

    10. Date forwarded to department chair or immediate supervisor ______________

    11. Comments of department chair or immediate supervisor:

    12. Signature of department chair or immediate supervisor

      13. _________________________________________

    13. Date forwarded to Sabbatical Leave Committee ________________

  2. Detailed description of proposed program of research, study, or other activities to be conducted by applicant for period of absence from Michigan Tech. Include in this description:

    1. Specific objectives of the proposed program, in terms of scholarly work and professional development.

    2. A schedule for time to be spent at proposed institution(s) or work site(s).

    3. Evidence of acceptance by proposed host institution.

    4. If a proposal is being submitted to an external agency, please submit a copy of the research or study program.

___________________________________
Applicant's signature