DISCRETIONARY RELEASE TIME REQUEST
FOR FULLTIME TEACHING FACULTY
ACADEMIC YEAR 2003-2004
Discretionary release time is designed to encourage and support faculty to try new, experimental or pilot
programs. As part of our mission we want to support an environment of professional creativity and we are
grateful to those faculty members whose innovative natures contribute to this goal.
We are asking you complete this form and the accompanying materials so that we can communicate effectively
about workload issues between the VP, Dean, Chair and Faculty member. We also hope that this process will
assist in designing clearly defined projects with reasonable timelines and goals. We expect that the evaluation
measures are in place prior to the commencement of leave given that evaluation and reporting are fundamental
in our endeavor to share these unique experiences with the College community.
_________________________________
NAME
_________________________________
ACADEMIC RANK AND DEPARTMENT
_________________________________
NAME
_________________________________
ACADEMIC RANK AND DEPARTMENT
_________________________________
CHAIR’S SIGNATURE AND DATE
_________________________________
CHAIR’S SIGNATURE AND DATE
________________________________
DEAN’S SIGNATURE AND DATE
____________________________
DEAN’S SIGNATURE AND DATE
Please attach any other relevant faculty names and information to this form.
REQUEST:
I hereby request that my FCH workload in the next academic year be decreased as follows:
____Total FCH to be distributed as follows: _____FCH - Fall 2003
_____FCH - Spring 2004
Please attach a description of the project. Be sure to include the following:
• Assessment of departmental impact, include potential need for replacement
• Timeline
• Benefits to the college
• Benefits to students
• Other support for this project
• Planned assessment measurements
• Anticipated outcomes
A final report is expected at the end of release time (January 31 for Fall/June 30 for Spring).
This report should include the following.
• Assessment Analysis
• Actual Benefits
• Time Expended
APPROVED:
________________________________ ___
VICE PRESIDENT, ACADEMIC SERVICES
cc:
___________
DATE
___________ FCH
RELEASE TIME
Vice President, Academic Services
Faculty
Dean
Department Chair
Human Resources
Please return this form to Academic Services no later than December 1, 2002.