Sabbatical Change Form

Faculty Liaisons听in coordination with the faculty member should submit this form to request a sabbatical change.听 If the sabbatical change request is a postponement of more than three semesters (that is, when it will not take place either within the same academic year that the sabbatical was to take place or the next academic year), this form should not be used and the faculty member should submit a new application for sabbatical. Please see:听听/facultyaffairs/career-milestones/leaves-and-sabbaticals/sabbaticals听for more information.

Liaison Information:

Name (First and Last) *

Campus Email *

Faculty Information:

Name (First and Last) *

Campus Email *

Signer One Information:

Title *

Name (First and Last) *

Campus Email *

Signer Two Information:

Title

Name (First and Last)

Campus Email

Signer Three Information:

Title

Name (First and Last)

Campus Email

Signer Four Information:

Title

Name (First and Last)

Campus Email

Signer Five Information:

Title

Name (First and Last)

Campus Email

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Sabbatical Change Form