APPLICATION FOR LEAVE OF ABSENCE WITH PAY (SABBATICAL)
Last Revision: 09/12/2019

APPLICATION FOR LEAVE OF ABSENCE WITH PAY (SABBATICAL)

TABLE OF CONTENTS

PURPOSE

The Application for Leave of Absence with Pay (Sabbatical) form is to be used by all faculty and staff members when requesting a leave of absence with pay (sabbatical).

GENERAL INFORMATION

  • Applications for Leave of Absence With Pay shall be submitted to the Office of the Executive Vice President and Provost of the University. The submittal date shall be November 1 for action by January 1.
  • The Vice President for Research and Vice President for Commonwealth Campuses shall perform the same function as the budget executive. An institute or facility director shall function as budget administrator.
  • The decision on Applications for Leave of Absence With Pay will be made by the President after consideration and recommendation by the Executive Vice President and Provost of the University.
  • Refer to Policy AC17 Sabbatical Leave.

EXHIBIT AND INSTRUCTIONS

There are no associated exhibits or instructions.

FORM REQUIREMENTS

No form may be used that substitutes for an approved official University form without prior review and approval by the steward of the form/central office, as facilitated by the Office of Systems and Procedures (designated representative of the Associate Vice President for Budget and Finance). See Policy FN17 Required Use of Approved University Forms Appearing in the General University Reference Utility (GURU) and Procedure FN2017 Use of Approved Form Templates Appearing on the GURU Website for full details.

NUMBER OF COPIES AND ULTIMATE DISTRIBUTION

Table of distribution and retention of the Application for Leave of Absence With Pay (Sabbatical)
Document: Ultimate Distribution: Retention Periods: Disposition Method:
Original Office of the Executive Vice President and Provost of the University 3 years after retirement / termination Paper document = Secure bin disposal and shredded beyond recovery

Electronic document and data = Delete from computer and empty computer recycle bin
Departmental Copy Originating Department As long as individual is actively employed

WHERE TO SEND COMPLETED FORMS

Refer to the Review Process section of Policy AC17 Sabbatical Leave.

CONTACT INFORMATION

For questions or additional details, please contact the appropriate individual as identified in the "Review Process" section of Policy AC17 Sabbatical Leave.

To request changes to this form, please contact the Office of Systems & Procedures by submitting a GURU Technical Support Request form.

CROSS REFERENCES