UTSC Research and Study Leave Request Form 2017-18

This request form should only be used for regular paid research and study leaves. Please talk to your Chair/Director if you are thinking about any other type of leave.

Name: Click here to enter Name.

Rank: Click here to enter Rank.

Department: Click here to enter Department.

Department of Budgetary Cross Appointment (if applicable):

Click here to enter Budgetary Cross Appointment. (In the case of budgetary cross appointments, request forms should be sent to the head of the home department, and an additional copy - marked as such - provided to the other academic unit head for information purposes).

LEAVE OPTIONS:

Option A - 12-month leave at 87.5% salary after 6 years of service

Start date for the first 6-month leave: Click here to enter Date for the 1st 6-month leave

Start date for the second 6-month leave: Click here to enter Date for the 2nd 6-month leave.

Option B - 6 month leave at 100% after 6 years of service

Option C - 12-month leave at 90% salary following a successful tenure/continuing status review and promotion to Associate Professor/Associate Professor, Teaching Stream

Option D - 6-month leave at 87.5% salary after 3 years of service

Start Date:

(If eligible to take leave July 1, 2017)
Requested by:

Research and study leave proposal (Approximately one page):

Click here to enter leave proposal.

Expected date of completion of leave project(s):

Click here to enter Date.

Expected form(s) of dissemination of leave project(s). These can include book, articles, conference papers, reports, exhibitions, redesigned course, and curricular development:

Click here to enter form(s) of dissemination.

Most Significant Professional Accomplishments, including Creative Accomplishments, if applicable since most recent paid research and study leave. These can include publications, conference presentations, curricular developments and/or designs, pedagogical innovations/training, special projects, and reports. For publications, indicate whether published/accepted, refereed/non-refereed, co-author(s) if any, with title, journal/publisher, date (if published), and length.

Click here to enter accomplishments.

Any other relevant information:

Click here to enter other information.