Separation Bridge Funding

Separation Bridge Funding

Name of Submitter

Please enter the name of the person filling out this form.

Name of Separating T/TT Faculty Member*

Department/School*

Select

Long Term Replacement Plan*

Please select the option that best describes what you currently think the long term replacement strategy should be for this position. This is not about the temporary plan for which you are asking bridge funding, but rather the big picture question.

Select or enter value

Long Term Replacement Plan Comment

OPTIONAL: Add any additional comments you have about your longterm replacements strategy for this position.

Academic Year to receive Separation Bridge Funding*

You can request funding for multiple fiscal years.

Temporary Replacement's Responsibilities*

Please select which semesters they will teach and if there are non-teaching responsibilities. You may select multiple options.

Fall semester teaching

Spring semester teaching

Non-instructional duties (e.g. service, mentoring, research)

Fall Courses to be covered

For the Fall semester(s), please list all course numbers and titles the replacement(s) will cover, including how many sections of each course and estimated enrollment(s).

Spring Courses to be covered

For the Spring semester(s), please list all course numbers and titles the replacement(s) will cover, including how many sections of each course and estimated enrollment(s).

Other Duties

If applicable, list any mentoring, service, and/or research assignment the temporary replacement will be assigned.

Amount of Bridge Funding Requested (annualized)*

Name(s) of Replacement(s), if known

Additional Comments (optional)

File Upload

OPTIONAL: If you want, you can upload the resignation/retirement letter, but it is not required.

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