Application for Leave
(Research Staff only)
Name:
Department:
NOTE: Research staff may be eligible for a 10 week period of leave. However, each request
is considered on its merits and is granted at the University’s discretion.
PURPOSE FOR WHICH LEAVE IS REQUESTED
In this section you should outline in detail the proposed objectives of your Leave, including
publication or other output plans. As a guide, this should be approximately 500 words.
You will need to refer to these objectives in your report at the end of the period of Leave, and to
demonstrate that they have been achieved.
The Head of Department and Academic Leave Committee will use the information provided in this
section to evaluate your report and any significant change of plans should be notified to Human
Resources in advance.
LEAVE REQUESTED
Please state the 10 week period during which Leave is requested.
Please note: There is no automatic right to the sole use of a room by a member of staff if he or
she is on study leave or leave of absence, though access to a working area should be facilitated
where requested. See
http://www2.warwick.ac.uk/services/spacemanagement/spaceallocation/guidelines/ for more
information.
RIGHT TO WORK IN THE UK
Do you currently hold/require a visa to work/remain in the UK?
Yes
No
If yes, please indicate below which type of visa?
GRANT APPLICATIONS
If your period of leave is granted, do you plan on applying for grants whilst you are on leave?
Yes
No
If yes, please provide further details below:
FINANCIAL DETAILS
Give details below of any expected additional income or expenses during the Leave requested. If
you become eligible to receive payments from an outside source after this application has been
approved, you should notify Human Resources as required under Regulation 5(8).
NOTE: REPORT
In making an application for leave, you agree to provide a Report on the leave to the
Academic Leave Committee, via your Head of Department, within 4 weeks of the end of your
leave. This should be submitted to the Academic Processes team in Human Resources
(academicprocesses@warwick.ac.uk) for consideration by the Academic Leave Committee.
Signature of Applicant ____________________________________________________________
Date _________________________________
STATEMENT BY DIRECTOR OF CURRENT RESEARCH PROJECT
Please indicate whether or not the application is approved, and how the proposed activities
contribute towards the applicant’s academic development.
Signature: ___________________________________________________
Print: _______________________________________________________
Date: _________________________________
STATEMENT BY HEAD OF DEPARTMENT
(to be completed by Professor Responsible if Head is non-professorial)
Do you recommend approval of this leave application?
Yes
No
Please detail your response below, indicating how the proposed activities contribute towards the
applicant’s academic development.
Please indicate
(i) how the proposed programme of research fits with the Department’s overall research strategy
and whether the objectives and outputs are clearly quantifiable.
(ii) why the objectives set could not be met within the standard workload model.
Signature of Head of Department ___________________________________________________.
Print: __________________________________________________________________________
Date: _________________________________
October 2015