DATE: Enter the date the form is being completed.
NAME: Enter the faculty member’s full name as it appears in *DEFINE.
UT EID: Enter the faculty member’s UT EID number as it appears in *DEFINE.
TITLE: Enter the faculty members official University title, such as Professor, Associate Professor, Assistant Professor or named professorship or chair (i.e., The Robert B. Smith Chair in Liberal Arts) as it appears on the UT budget.
COLLEGE/SCHOOL: List ALL colleges and schools who contribute salary funds to the faculty member. For example if he/she holds a 50% appointment in Liberal Arts and a 50% appointment in Business, list both colleges. It is not necessary to list colleges where only a zero time appointment is held.
DEPARTMENT: List ALL departments who contribute salary funds to the faculty member. For example if he/she holds a 50% appointment in Economics and a 50% appointment in English, list both departments. It is not necessary to list departments where only a zero time appointment is held.REQUEST FOR LEAVE WITHOUT PAY (LWOP): Check this box if the faculty member is not receiving any compensation for this time or is receiving financial support that will NOT be administered through a University account. This type of leave should be requested in any of the following circumstances:
PERIOD OF REQUEST: Enter specific dates for the duration of the leave. In most cases the leave will exactly be a full semester or academic year using the following dates: Fall: 09/01/XX – 01/15/XX; Spring: 01/16/XX – 05/31/XX; and Long Session: 09/01/XX – 05/31/XX. Complete two forms if a leave is to span two fiscal years.REQUEST FOR LEAVE FROM THE INSTRUCTIONAL BUDGET (RT): Check this box if the faculty member is receiving support that WILL be administered through a University account. This type of leave should be requested in any of the following circumstances:
1.a. ACTIVITIES WHILE ON LEAVE INCLUDING PROJECT TITLE/DESCRIPTION WHERE APPROPRIATE (REASON FOR REQUEST.)
State the reason for the request. If this is a research leave, define the title or description of the research. If it is a personal leave or medical leave, so state. If the leave involves being paid by another institution, agency, business or foundation, indicate the nature of the work to be performed (teaching, research, analysis, etc.). Be as specific as possible.
1.b. WHERE WILL INDIVIDUAL BE WORKING?
Indicate the city, state, country, where faculty member will be working. If there is another institution, agency, business or foundation involved, list the name.
2.b. HAS FUNDING BEEN APPROVED?
If an external grant or other funding has been requested but not approved, do not submit the leave request until funding has been secured UNLESS the leave deadline has arrived. In this case, answer this question "NO", but indicate when you expect a decision will be communicated to you. If funding has been secured, enter "YES." When personal funds are involved, "N/A" is appropriate.
3. WHY IS LEAVE IN THE BEST INTERESTS OF THE UNIVERSITY? (HOW WILL THE LEAVE IMPROVE THE INDIVIDUAL’S TEACHING AND SCHOLARSHIP?)
Answer this question directly. Indicate what is hoped will be added to the faculty member’s experience, what might be brought to the classroom, what publications would result, etc.
4.a. LENGTH OF SERVICE AT UT AUSTIN:
Indicate the number of academic years of service here at UT Austin. Also, enter the beginning date of first employment. For example: 27 years (began September 1, 1973).
4.b. DATES OF PREVIOUS LEAVE:
List all leaves taken as a faculty member. This would include LWOPs, RT as well as FRA’s. These may be viewed by staff on the AL1 screen in *DEFINE.
5. WHAT ARRANGEMENTS ARE BEING MADE TO STAFF CLASSES THAT THE INDIVIDUAL IS/WAS SCHEDULED TO TEACH DURING THE PERIOD OF LEAVE?
Typically, the departmental chair will complete this section. If leave was requested early enough, it could be that no classes were scheduled. If so, it is fine to say that. However, if classes were scheduled, then you must document how those classes are being covered. List course number, unique number, and who will be teaching the class. If the course was cancelled, so state, but also include an explanation of how the students are being accommodated. Also, outline what teaching activities will remain with the faculty member if they are requesting less than 100% leave.
Last Modified: 2 May 2012