KANSAS STATE UNIVERSITY
SABBATICAL LEAVE APPLICATION FORM

(Copies of Sabbatical Leaves Guidelines are online at http://www.k-state.edu/academicpersonnel/depthead/sabbat/sabblv.html)
 
 
1. Name:
 
2. Department/College:
 
3. Faculty Rank:
 
4. Tenure Date:
 
5. Tenure-Track (Date of Appointment):
 
6. Dates of previous sabbatical leaves at K-State:
 
7. Sabbatical Option desired (Preference will be given to applicants who request a full year.):
 
For 12 Month Faculty
 
Eleven month sabbatical at half salary.
Dates of leave:
 
Five month sabbatical at full salary.
Dates of leave:
 

  For 9 Month Faculty
 
Nine month (academic year) sabbatical at half salary.
Dates of leave:
 
Four and one-half month (one semester) sabbatical at full salary.
Dates of leave:
 
 
8. Please attach a detailed description of your plan of work for the sabbatical.
The plan of work should include the following:
a.A brief (<500 words) description of the objectives of the leave.
b.Activities needed to implement the objectives.
c.Time table for sabbatical leave activities.
d.Travel necessary to implement plan of work.
e.Expected professional and scholarly outcomes resulting from sabbatical.
f.Copy of the invitation from another university or industry, if appropriate.
g.Statement of assurance from your sponsor that facilities are available to conduct the sabbatical leave activities, if appropriate.
h.Indicate if sabbatical leave is extramurally funded and provide details.
i.Contributions you can provide to your department, college/division, and the Kansas State University community as a result of your leave.
9. Please attach a statement from the department administrator which describes the merits of the proposed leave and how faculty duties will be covered.
 
10.
Signatures:
________________________________________
Faculty Member		 ____________________
Date
________________________________________
Department Administrator		 ____________________
Date
________________________________________
Dean		 ____________________
Date

* The Office of Academic Personnel receives inquiries regarding temporary housing for new and visiting faculty and unclassified professionals. If you would like our office to provide your name to those who inquire for the time period that you are on sabbatical leave, please contact us at 532-4392.