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LEAVE WITHOUT PAY REQUEST * Name (Last, First, Middle) UID
 

Summary: LEAVE WITHOUT PAY REQUEST *
Name (Last, First, Middle) UID
Title Tenured Non-tenured (see Stipulations below)
Primary Dept. College (use 4-letter acronym)
Secondary Dept. College (use 4-letter acronym)
(If a faculty member holds a joint appointment, the department will be responsible for obtaining signatures from secondary chair/dean.)
DESCRIPTION OF THE REQUEST
REQUESTING (Check One): 9/9.5/10-month appointment 12-month appointment
one semester -OR- a time period not to exceed one year
academic year
FOR THE PERIOD (Month/Day/Year) / / to / /
THIS REQUEST IS (Check One): New Partial LWOP to % Extension Change
REASON:
STIPULATIONS
SABBATICAL LEAVE - The period of Leave Without Pay will not count toward eligibility for Sabbatical Leave
TENURE REVIEW PERIOD For professorial faculty without tenure:
Tenure clock will continue to run (Review Year - )
Stop the clock and delay review year to - *
*The form, Request for Delay of Mandatory Review, and supporting documents must be attached for
consideration of stopping the tenure clock and delaying the review year.

  

Source: Anisimov, Mikhail - Institute for Physical Science and Technology & Department of Chemical Engineering and Biomolecular Engineering, University of Maryland at College Park

 

Collections: Physics; Materials Science