ࡱ> :<9_ bjbjzz >B\B\mM        8Xt$ ~F$# #  8III  IIIu,SXN0~,D D D (I##-~D > : REQUIRED COVER PAGE APPLICATION FOR SABBATICAL ASSIGNMENT **All questions must be completed to be considered for award. Choose one: [ ] Creative Project [ ] Research Project  Date of Last Sabbatical Award (Semester and Year): ______________________________ Date of ATU Faculty Appointment (Semester and Year): _____________________  1. Name of Applicant:___________________________________________________________________ 2. Academic Rank:__________________________Date Tenure Granted:________________________ 3. School (abbrev): ________________ 4. Department: ______________________________________ 5. Campus Mail Address: _________________________________ 6. Campus Phone: _____________ 7. Dates of Proposed Sabbatical Assignment: (Check all that are applicable) Fall 20____ Spring 20____ Summer I 20____ Summer II 20____ 8. Final Written Report Due Date: (Within 1st semester after return)____________________________ 9. Pay Requested: Full____ Partial____ 10. Salary Requested for Replacement : $__________________Fringe Benefits: $____________________ 11. Total Cost of Project: $____________ SIGNATURES Department Contribution (if applicable): $_________ _______________________________________ Account Number: ____________________ Chairperson Date College Contribution (if applicable): $_________ _______________________________________ Account Number: ____________________ Dean Date This Section to be completed by the Office of Academic Affairs Sabbatical Committee Award Recommendation: Yes____ No____ Sabbatical Committee Proposal Rank: ______ of _____ Total Proposals. Recommendation of VPAA: Yes____ No _____ Recommendation of President: Yes____ No _____ Award Date: ___________________For: Fall 20___ Spring 20___ Summer I 20___ Summer II 20___      Page  PAGE 1 of  NUMPAGES 1 PAGE  PAGE 1 ;=|~  4 _ b c d       x y z { } ~ d e 봨ǕǕǕǕǕ}ÕǕ hJ5\ hJ5CJOJQJ\^JaJhJ5CJ\aJhJB*phhJB*CJaJphhJ5B*CJ\aJphhJhJCJaJ h)w"hJh)w"hJ5\hJ5CJ\aJhJCJaJhJ5>*CJ\aJ+=?~  a b d Ikd$$Ifl09J64 la $0$If]0a$ $0$If]0a$$0]0a$$0]0a$   y { " # e g T U  H J $0]0^a$$0]0a$ $ & F0]0a$$0]0a$ ~  3 G H I J Q R ^ p q )*+ ijkmnpqstvwy~ݷٷق~~~~tjhJ0JUh jh Uh)w"hJCJaJ h)w"hJhJ5CJ\]aJh)w"hJ5CJ\]aJhJCJOJQJaJhC5CJ\aJhJ5CJ\aJhJhJCJaJhJ5CJ\aJhQhJ5CJH*\aJ-J | *+i jklzt7$8$H$]kd\$$IflF,""064 la$If$1$If$0]0^`a$$0]0a$ lmoprsuvxy$h]ha$h]h&`#$$a$h hJhJ0JmHnHujhJ0JU hJ0J< 00P1h/ =!"#$% DpZ$$If!vh#v#v:V l65/ 4y$$If!vh#v":V lF065"4s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List 6O6 Default1 B*phXoX Default1$7$8$H$!B*CJ_HaJmH phsH tH 4@4 Header  !4 @"4 Footer  !.)@1. Page NumberHBH  Balloon TextCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  1<LLLO   J l  +-18<CEO!!!8@0(  B S  ?JQmmopprsuvxy~xz06 J{m33333{JQlmmppy~JQl7pu7pJ PC mo@QQQQ@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialU Univers-CondensedLight5. .[`)TahomaA$BCambria Math"1hBG'FR R !4jj2QHP ? P2!xx REQUIRED COVER PAGEjennifer.flemingAndrea Eubanks Oh+'0  $0 P \ h tREQUIRED COVER PAGEjennifer.flemingNormalAndrea Eubanks3Microsoft Office Word@@Br폏@@v R՜.+,D՜.+,X hp  M6 j REQUIRED COVER PAGE Title4@ (_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOncejennifer.fleming@atu.eduJennifer Fleming  !"#$%&'(*+,-./02345678;Root Entry F _,=Data 1TableT WordDocument>SummaryInformation()DocumentSummaryInformation81CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q