Faculty wishing to apply for sabbatical must complete a Request & Agreement for Sabbatical Leave formto seek initial approval from their Chair and the appropriate Instructional Dean.

Please use the numbered sequence below as the formal guideline for your sabbatical proposal. Your proposal needs to provide sufficient detail. This information will be used for evaluation by administration to determine eligibility for sabbatical leave.

  1. Description of the project (Please include how the proposed work or study is pertinent to a program of study at the College and how the work will directly benefit the College and its students and/or department, as a whole.)
  2. Location of work (Please include location, nature of arrangements, travel itinerary and time, etc.)
  3. Work already completed or in progress (Please indicate whether or not this is a new or ongoing project. If ongoing, how much of this project has been completed.)
  4. Value and compatibility of goals (Please indicate how completion of the sabbatical will provide intellectual refreshment and/or professional growth and enhance your service to and increase the distinction of the College of Southern Idaho.)
  5. Will formal college credit be earned for work completed? (A formal college/university transcript will be required upon completion and award of credit.)

Sabbatical Request Checklist

Complete the CSI Sabbatical Request and Agreement with your Department Chair and seek approval from the appropriate Instructional Dean with their signatures.

Use the Faculty Sabbatical Leave Proposal to develop the formal sabbatical proposal.

Attach the previously signed CSI Sabbatical Request and Agreement form to your proposal.

The complete packet with signatures affixed needs to be submitted to the Office of the President NO LATER THAN DECEMBER 1st

Upon Completion of Your Sabbatical

Within 90 days of sabbatical end date, submit a written report to the Office of the President stating completion of stated goals and objectives. If credit was earned, provide formal transcript with report.

Schedule an appropriate time for a formal presentation of sabbatical report with administration. This formal presentation can be done either during a CSI Inservice event or in a Herrett Center forum activity as a celebration of your accomplishment.

Approval by Department Chair (signature) / Printed Name / Date
Approval by Instructional Dean (signature) / Printed Name / Date
Approval by Exec VP & CAO (signature) / Printed Name / Date
Approval by CSI President (signature) / Printed Name / Date

Name:Date:

CSI Department:Current Rank:

Date of Hire (full time status): Date of Last Sabbatical (if applicable):

Sabbatical Leave Request for period beginning and ending

Number of weeks?

Title of the Proposed Sabbatical Project:


Brief description of proposed sabbatical project (to gain initial approval by your Chair and InstructionalDean)

I will return to my position with the College of Southern Idaho for at least one academic year at the end of my sabbatical leave period.

Initialed by______

I will submit a detailed report of my accomplishments while on sabbatical leave within three months of the end of sabbatical date and provide a formal presentation in a formal setting within 6 months of the end of the sabbatical date.

Initialed by______

I have read the statements on sabbatical leave from the CSI Employee Handbook. I understand the conditions and requirements stated as well as those contained with this document and will meet and fulfill all requirements, if leave is granted.It is my intention to complete the Faculty Sabbatical Leave Proposal with appropriate details for submission to the Office of the President.

______

(Faculty member signature)Printed NameDate

Signature(s) supporting my request and agreement for sabbatical leave:

Department Chair and Instructional Dean signatures here indicates consideration and plans for covering any absence of faculty that occurs during a regular college semester when and where applicable.

Approval by Department Chair (signature) / Printed Name / Date
Approval by Instructional Dean (signature) / Printed Name / Date

See the CSI statements regarding sabbatical leave from the employee policies and procedures manual included with this form. (The statement is under revision.)

Sabbatical Request and Agreement| Page 1