RAMAPO COLLEGE OF NEW JERSEY FACULTY DEVELOPMENT SUPPORT APPLICATION NAME: _____________________________________________ TITLE: UNIT: Assistant ASB Associate CA FUNDING REQUESTED: LIB DATE: _____________________ Full Professor of ______________________________________ SSHGS SSHS TAS Career Development Have you ever been awarded a sabbatical leave? FDF No YEAR APPOINTED: ___________ Sabbatical Yes Other If yes, when? _______________ Have you applied for or intend to apply for any other in-house funding this year? No Yes If yes, please specify: ________________________________________________________________________________ Have you applied for outside funding related to this project? No Yes If yes, please specify: ________________________________________________________________________________ Have you received in-house support for scholarship within the last five years? No Yes If yes, list previous in-house awards: SBR (now FDF), Career Development, Ramapo Foundation, Sabbatical, TLTR: Year Award Program Project Amount 2014/15 _________________________ ____________________________ _____________ 2013/14 _________________________ ____________________________ _____________ 2012/13 _________________________ ____________________________ _____________ 2011/12 _________________________ ____________________________ _____________ 2010/11 _________________________ ____________________________ _____________ I pledge to submit a complete report to the Dean and Office of the Provost (with a copy to Employee Relations) within the semester following the award received. _____________________________________ Signature Date JF 7/12 RAMAPO COLLEGE OF NEW JERSEY FACULTY DEVELOPMENT SUPPORT PROPOSED BUDGET Type of award requested: Grant Stipend Project Period: ____________________________________________________________________ STIPEND (amount requested): $_________ GRANT REQUESTS FOR REIMBURSEMENT Educational Materials: printing services, educational, library, laboratory supplies, etc Specify: _______________________________________________________________ $_________ Travel: airfare, train, mileage (reimbursable at $.50/mile per travel policy), etc Specify: _______________________________________________________________ $_________ Professional Services: outside consultants/technical assistance, etc Specify: _______________________________________________________________ $_________ Equipment: items purchased remain the property of the College Specify: _______________________________________________________________ $_________ Other: conference, seminar, tuition fees, student aide, etc Specify: _______________________________________________________________ $_________ SUBTOTAL OF STIPEND REQUESTED $_________ SUBTOTAL OF GRANT REQUESTED $_________ GRAND TOTAL $_________ NOTE: While on Sabbatical Leave faculty are not eligible to receive additional institutional faculty development funds including travel, stipend, etc. JF 7/12