Application for Sabbatic Leave of Absence Instructions, Eligibility, Policies & Deadlines Prior to submitting this application, please read the Provost Office policy on Sabbatic Leaves at the following website: http://provost.tufts.edu/policies/sabbatic-leave-leave-of-absence/. The application is due in the dean’s office December 1 before the academic year of the proposed leave. A sabbatic leave is intended to provide tenured faculty members with opportunities for scholarly development that will contribute to their achievements and the value of their service to Tufts University. A sabbatical recognizes prior scholarly achievements and anticipates future scholarly contributions. Eligibility & Opportunity Tufts University does not guarantee the opportunity to take a sabbatical leave. Leave is granted when, in the dean’s assessment, the conditions of the department and of the university are such that the faculty member’s absence will not seriously impair the interests of the university. Sabbaticals are granted only to faculty members and only with the dean’s approval. The candidate for leave shall normally have served with professorial rank at Tufts for at least six years, although the dean may enter into a special agreement concerning the time of the first sabbatical of a faculty member brought from another institution or organization. A faculty member who accepts a sabbatical is expected to return to the university for at least one year following the leave. Ordinarily, sabbaticals are granted only if, at the expiration of such leave, the applicant would be eligible for continued service on the faculty of the School of Medicine for at least one year before retirement. In certain cases, the dean may count a full year of leave without pay as part of the consecutive years of service, which are a prerequisite to a sabbatical. On the application, an applicant for leave without pay must request that the time be so counted. Duration and Compensation A sabbatical may involve absence for an academic year at half-salary or for six months at full salary. A member of the faculty on sabbatical may not receive compensation for services at another institution or organization. This does not preclude acceptance of fellowships that support various research expenses or of honoraria and travel expenses for invited lectures or participation in invited seminars or on boards, for example. Application Process A complete application for sabbatical, approved by the department chair, should be sent to the dean’s attention, care of the Office of Faculty Affairs. The applicant must have a well-considered, suitable plan for research activity. A detailed written statement of this plan indicating its professional advantages, as well as current curriculum vitae in the Tufts format, must accompany the application (see http://medicine.tufts.edu/Who-WeAre/Administrative-Offices/Office-of-Faculty-Affairs/Forms-Templates for the current version of the Tufts CV.) Mutual Consent The letter from the dean to the applicant approving the leave represents a commitment by the university and the faculty member. Therefore, any changes to the plans for the leave require the written agreement of both parties, and notice to the Provost Office and Human Resources by the Office of Faculty Affairs. If the any conditions of the sabbatic leave changes (e.g., dates, term etc.), please notify the Office of Faculty Affairs immediately. Required Report Upon returning to the university after a sabbatic leave, the faculty member will submit a detailed report of activities during the leave to the dean and Provost Office, care of the Office of Faculty Affairs. Please submit the completed documentation and direct any questions to the: Office of Faculty Affairs 200 Harrison Avenue, Posner 4th Floor Phone: (617) 636-6631; Fax: (617) 636-6879; Med-ofa@tufts.edu Sabbatic LOA Form Revised 2012.doc 1 2/17/2016 Application for Sabbatic Leave of Absence ___________________________________ ________________________________ Name of Applicant Rank (official title listed in dept. records) _______________________________________ Academic Department ___________________________________ Department Chair ___________________________________ ________________________________ Date of Original Faculty Appointment Date of Application __________________________________________________________________________________ Applicant’s campus address _______________________________________ Telephone number ___________________________________ Email address Terms of the proposed sabbatical - check which applies: □ One half year with full salary □ One full year with half salary Indicate dates of desired leave: _________________________________________________________________________________ Will this sabbatical be taken contiguously with another type of leave? □ Yes □ No If ‘yes’, then please indicate the type, term and year of this additional leave: __________________________________________________________________________________ Please list the type(s) and date(s) of any leave(s) taken in the past: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ □ A current curriculum vitae is attached, in the Tufts-preferred format. Sabbatic LOA Form Revised 2012.doc 2 2/17/2016 Application for Sabbatic Leave of Absence Statement of planned project: ______________________________________________________________________________ Sabbatic LOA Form Revised 2012.doc 3 2/17/2016 Application for Sabbatic Leave of Absence Department Chair’s Remarks: Please comment on the applicant’s productivity and overall research and scholarship activity. If applicable, please comment on research and scholarship activity since the last sabbatic leave. Please return to the Office of Faculty Affairs for the dean’s consideration. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ How will the department cover this vacancy, in particular course load and advisees? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________ Signature of Department Chair Sabbatic LOA Form Revised 2012.doc 4 _____________________________ Date 2/17/2016 Application for Sabbatic Leave of Absence Dean’s Remarks: □ Approved □ Disapproved __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________ Signature of Dean Provost’s Remarks: □ Approved _____________________________ Date □ Disapproved __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________ Signature of Provost _____________________________ Date Date approved application received by the Office of Faculty Affairs: ________________ Sabbatic LOA Form Revised 2012.doc 5 2/17/2016