LLILASFaculty Request for Buyout or Leave

LLILAS

Faculty Request for Buyout or Leave

Faculty Full Name*

EID*

UT Email*

Year of Requested Leave*

Select

Semester of Leave Request*

Select

Teaching Load*

Before requesting leave, you should discuss your teaching load and expected teaching assignment for the year with your home department Chair and the LLILAS Director. Please check the box below to confirm you have notified your home department Chair and the LLILAS Director of this requested leave.

Funding Source*

Select

Account #

Enter 10-digit UT account number for buyouts.

Describe funding source*

Provide description of stipend funding source (e.g., $10,000 stipend to be paid by the John Doe Foundation)

Leave Reason*

Select or enter value

Project Title or Subject*

Description of Activity*

Provide a brief description of activities to be conducted during leave period.

Leave Location*

Name of city and state (or city & country) where you will be working during this leave.

Benefit to UT*

Include a brief description of how the leave is a benefit to you, your program/department, and the university and how it will improve teaching and scholarship.

Teaching Arrangements*

Please summarize the teaching arrangements for this leave (e.g., my Spring LAS 322 class will be moved to the Fall, or my LAS 322 class will be taught by Prof. Doe)

Activities*

Describe the instructional and service-related activities that will be continued during the leave period. Examples: supervision of graduate students, individual instruction courses, course development, advising, serving on budget councils and departmental committees. Indicate "None" if not applicable.