Academic Term(s):
CNM Course Release Form
FT Faculty Member:
Project Supervisor
Home School:
School/Department:
Contract/Grant Title:
Project Title:
Project Start Date:
CBA Weekly
Teaching Load
ID#
Acct. #
AT
BIT
CHSS
HWPS
Faculty Supervisor
MSE
-8001SAGE
Project End Date:
*Total Contact Hrs
Released per Term
Contact Hrs Released per Week
Class
Other
Office
Hrs
Duty Hrs
Hrs
**Total
Amount ($)
Course Release: Course release is used for full-time faculty only. Weekly release hours must be documented
on faculty work schedule.
*The total contact hours charged must be calculated by using the Contact Hour Table and/or Faculty
Workload Appendix (Appendix C) for full-time faculty.
Note: Include office hours and other duty hours as appropriate
**Total amount is based on faculty member’s salary, and is calculated by school payroll specialist and
business office. Calculation is required only for grants or cost accounts outside of the faculty’s Home School
Course Release Information
Check here if CR is for Chair Duties:
Project Description:
Justification:
Course Release Form
rev 1.2 Created 4/3/08, Updated 7/17/08
page 1
Outcomes/Deliverables:
Signatures
The above named faculty member agrees to carry out tasks associated with this work and to provide outcomes and
deliverables during and at the conclusion of the supplemental activity.
Vice President for Academic Affairs
Date
Dean
Date
Project Supervisor
Date
Contract/Grant Control Agent (if applicable)
Date
Faculty
Date
Once all signatures are obtained:
Home school scans original onto home school K: drive. Home school files copy in Home School
personnel file, distributes electronic copies to Business Office and Grant Managers or other entities, sends
original to Human Resources.
Project Completion Summary:
Upon completion or termination of agreement, project supervisor must complete Project Completion Summary
below and save to faculty member’s home school K: drive.
Course Release Form
rev 1.2 Created 4/3/08, Updated 7/17/08
page 2