Application for a Faculty Study

Name: *

Department: *

Are you a full-time member of the faculty?: *

Yes

Describe your need for a faculty study (please be specific in describing the research in which you are engaged): *

What tangible outcome is anticipated from your research? Please check one of the following items: *

Do you have released time for your research or writing?: *

Yes

If answer is "yes", please check the appropriate item below:

Professional Development Assignment

Leave of Absence

Reduced teaching load

Other- Please Specify

Please give any additional information you feel is pertinent in support of your application:

________________________________________________

For which period do you need a study? (you may apply for one semester only per application)

Semester: *

Fall

Spring

Summer

Year: *

Note:

To use the Ethernet connection in the faculty study you will need to have your computer registered with ITS Computer Consulting Center, #36 ITTC.
Studies will normally not be assigned to an individual for more than two consecutive terms. Studies are for individual research, and are not to be used for conferences with students or colleagues.

Your answer to the following question will help us in placing individuals as we assign the dual studies:

How much keyboarding are you likely to do?: *

Much

Little

None

Have you been assigned to a faculty study before?: *

Yes

If answer is "yes", what was the tangible outcome of the research you were engaged in during your most recent use of a study?:

Email address (if you would like a copy of this form sent to you):

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