Inside Fletcher: Faculty

Application for Leave of Absence

A Tufts University faculty member who wishes to apply for leave of absence should first consult the Trustee policy concerning sabbatic leave and leave of absence to make sure that he/she is eligible. Leave of absence, without pay, may be granted at any time, for not more than one academic year. In certain cases the President and Trustees may count such a period of leave as part of the consecutive years of service which are a prerequisite to sabbatic leave.

 

 

_________________________________________              _______________________

Name of Applicant                                                                 Date of Application

 

 

_________________________________________             _______________________

Rank (official title listed in department records)                    Academic Department

 

 

_________________________________________     ( ) one half year with full salary

Indicate months and year(s) of desired leave             ( ) one full year with half salary

 

 

________________________________________    ______________________________

Date of original full-time faculty appointment           Date of last sabbatic leave

 

_____________________________________________

Date of last leave of absence

 

________________________________________________________________________

Applicant’s Campus Address

 

________________________________________________________________________

 

 

Tel. # ________________________________ Email: ____________________________

 

 

_________________________________________

Name of Department Chair

An updated vita should accompany the application.


 

 

Statement of planned project:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Application for Leave of Absence

 

Comments by Department Chair:                  ( ) approve      ( ) disapprove

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

If approved, how will the vacancy be covered?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

___________________________                  ____________________________________

Date Approved                                               Signature of Department Chair

 

 

Comments by Dean:                                       ( ) approve      ( ) disapprove

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

__________________________                    ____________________________________

Date Approved                                               Signature of Dean

 

 

 

Comments by Senior Vice President/Provost:            ( ) approve      ( ) disapprove

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

_________________________                      ____________________________________

Date Approved                                               Signature of Senior Vice President/Provost