SUPPLEMENTAL INFORMATION FOR ACADEMIC LEAVE
Please use this form to document your efforts to find outside funding or make arrangement(s) which support your work while on leave
when you are applying to fewer than three major grant opportunities. A major grant is considered to be anything that funds more than
20% of academic year salary plus major research grants such as NSF and NIH. Because of the prestige and commitment, Fulbright
Scholar grants are also considered major regardless of the amount of salary funded.
*Please check the box if this source will provide some salary funding. Put an X in the column that most closely defines the source
listed.
Name of source
*
☐
☐
☐
☐
☐
☐
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Check applicable column or provide more detail in Other column
Major
Summer
Travel
Per diem or
Unpaid
Book
fellowship salary &/or
grant
other small
residency contract or
research
res. grant or
publication
expenses
fellowship
costs
Teaching
(explain
value to
leave
plan)
Other
(explain)