RELEASE TIME FOR RESEARCHDEPARTMENT APPROVAL FORM

Name:Dept:Rank:

Project title:

Funding sponsor name and grant program:

RELEASE TIME REQUESTEDRELEASE TIME SUPPORTED BY DEPARTMENT

Year: Term: No. Courses:Year: Term: No. Courses:

Year: Term: No. Courses:Year: Term: No. Courses:

Year: Term: No. Courses:Year: Term: No. Courses:

Year: Term: No. Courses:Year: Term: No. Courses:

Year: Term: No. Courses:Year: Term: No. Courses:

The Department supports this release time request as indicated above. In submitting this form, I judge that:

YesNo

a) a request for release time is warranted given the nature of the given project.

b) the project could not be completed given the nature and type of
workload for the faculty for the relevant years.

c) programmatic needs can be met if release time is granted.

d) the individual is balancing commitments over time, in light of
the individual’s career trajectory.

Department Head comments:

Department Head signature:Date:

Please submit this form with the required attachments to the OGPR via campus mail or email

April 2013