Course Release Nomination Form for Research Active Faculty To Recognize Their Mentoring of Graduate Students Name Rank Email Years at UHH College/Unit Department / School Tenure Year Division Dean/Director Approval Division Chair Approval Department/School/Chair Approval Email Email Email (Division chair is only applicable to CAS faculty) Proposed Course Release: Spring or Fall Semester, 2016-17 (circle one) Funded Extramural Grant activity since January 1, 2011: (PI or co-PI; Title, Funding Period, Total Costs,) Students Graduated Since January 1, 2011: (Student Name, Degree, Date of Degree, Thesis Title, placement) Students currently mentored: (Student name, degree pursued, expected graduation date) Title of Grant to be written as a result of the course release: Estimated Total Cost of Grant Proposal: Extramural Agencies, Foundations, or Organizations for Grant Submission: