Academic Affairs Reassigned Time Request Form

Type of Activity:*

Chair

Program Director

Advisor

Research

Administrative Service

Other

Please Specify Other Type of Activity:*

What type of reassigned time are you requesting?*

Credit Hours

Number of Courses

FTE

Other

Amount of Time Requesting*

Include a short explanation of the other type of time you are requesting:*

List courses to reassign:*

If there are multiple classes, separate using a comma.

Example class format: ENGL4506.001

Otherwise put TBA

How much time and effort will you spend on this activity?*

Each course counts for .25

Select

What is your goal for this reassigned time?*

What is your goal for this time next semester?*

Note:

*If you are a Chair, Program Director, or Advisor, no goal is needed. You can just list your position.

*For Faculty Development, no goal is needed as it is already approved.

*For Research and other positions, include a detailed description with deliverables.

List any deliverables if applicable:

File Upload

Attach additional pages if necessary.

Drag and drop files here or