I-Shou University Application Form for Reserving Overtime Teaching Hours Date of Application: Name Faculty ID No. Title Unit (MM/DD), 2012 Reason for Application Applying for reserving and offsetting ______ (please specify the number) teaching hours for the second semester of the academic year 2012. (*The actual weekly teaching hours shall not be less than three hours after the overtime teaching hours are offset.) The Number of Weekly Teaching Hours Details of teaching hours in the first semester of the academic year 2012: 1.The number of weekly teaching hours at the daytime division on weekdays: 2.The number of weekly teaching hours at the evening division (EMBA programs shall not be included) from Monday to Sunday : 3.The number of weekly teaching hours for EMBA programs offered by the Division of Continuing Education: 4.The number of weekly part-time teaching hours outside the University: 5.The number of teaching hours deducted for serving concurrently as an administrative head: 6.The number of teaching hours deducted for participating in research projects (include industry-government-university collaboration projects): 7.The number of insufficient teaching hours for the first semester of the academic year 2012: 8.The number of teaching hours being reserved and offset with the approval of the University for the first semester of the academic year 2012: Applicant Head of the Unit Dean of the College (Director of the Center) Staff in Charge of Curriculum Section Section Chief of Curriculum Section Dean of Academic Affairs Note: 1. Faculty members with up to four overtime teaching hours (include the teaching hours for both the daytime and the evening divisions) shall fill in the application form to apply for reserving the overtime teaching hours for the following semester. 2. Faculty members with five or more overtime teaching hours shall file a special application for reserving the overtime teaching hours, and the overtime teaching hours being reserved and offset for the following semester shall not exceed two. 3. If the total teaching hours for faculty members applying for reserving the overtime teaching hours are less than the number of required weekly teaching hours after the course add/withdrawal, the Curriculum Section will automatically revoke the applications for such faculty members. *In the event of any disputes or misunderstanding as to the interpretation of the language or terms of the document, the Chinese language version shall prevail.