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.