Faculty Long-Term Leave Request
If you would like to be on leave in the coming year, please submit a completed, hard copy of this Faculty Leave Request form as soon as possible. Timely submission of this information is key to expediting the approval process and to receiving accurate salary payments while on leave.
Name _________________ On Leave in ____ Fall ____ Spring Year(s) _____-_____
____ Sabbatical using ___ credits ____ % paid by EECS ____ % other funding source: __________
____ Research leave ____ % paid by EECS ____ % other funding source: __________
____ Industrial leave ____ % paid by EECS ____ % other funding source: __________
____ Administrative leave* ____ % paid by EECS ____ % other funding source: __________
____ Other (please explain below) ____ % paid by EECS ____ % other funding source: __________
*Please note reasons for Administrative or Other leave; provide additional info on funding sources: ________
When was your most recent leave? ______ What type?___________________________________________
Have you submitted a Sabbatical Leave Report on the past leave? ______ If not, please attach to this request. Classes taught in the two semesters prior to requested leave: _______________________________________
Who could replace you? _________________________ Have you contacted him/her about this? __________
Name and address of proposed replacement: ___________________________________________________
Regular faculty member in charge of your courses during this leave: _________________________________
What advising and contact plan do you have for the graduate students you are officially supervising, or whose theses you are officially directing, during your leave? _____________________________________________________
While on leave, will you be using your campus office? _____ Can a visitor feasibly share your office? _____
Due date: Leave requests are due by the beginning of the Spring semester. Leaves requested after the deadline may not be able to be approved. Faculty members who request leaves at a late date need to arrange for a suitable replacement to teach their classes.
Pay periods: Both academic and research salaries are paid over 12 months (July - June).
Your Signature _____________________ date____
See below for general information about University and departmental sabbatical leave policies.
Accruing Sabbatical credits. Each semester of service at 50%-time or more earns one semester of sabbatical leave credit. A 50% research leave earns a sabbatical leave credit – but a 51% research leave does not. If a leave does not use all your accrued credits, you may request deferral of unused credits toward future leave.
The typical minimum sabbatical leave is one semester at 67% salary; the 44% and 56% levels are used if the faculty member has only 4 or 5 sabbatical leave credits accumulated (see Sabbatical Leave table below).
SABBATICAL LEAVE CREDITS NEEDED FOR VARIOUS LEAVES (from APM 740)
4 semester credits (2 years) 44% salary
5 semester credits (2.5 years) 56% salary
6 semester credits (3 years) 67% salary
7 semester credits (3.5 years) 78% salary
8 semester credits (4 years) 89% salary or 44% salary
9 semester credits (4.5 years) full salary or 50% salary
10 semester credits (5 years) 56% salary
11 semester credits (5.5 years) 61% salary
12 semester credits (6 years) 67% salary
14 semester credits (7 years) 78% salary
16 semester credits (8 years) 89% salary
18 semester credits (9 years) full salary
Leave Project Statement. The final stage of arranging for a sabbatical requires a Leave Statement describing:
1. Brief history of the project, from inception through progress to date and projection as to completion date.
2. Significance of the project as a contribution to knowledge or a particular profession; or as an expected contribution to the applicant's increased effectiveness as a teaching and scholar.
3. Where the project will be carried out and names of authorities, if any, with whom it will be conducted.
4. Assurances of cooperation, or authorization for the project, from individuals, institutions or agencies.
5. Description of all financial support expected during the sabbatical leave, including any fellowship, grant, government-sponsored exchange lectureship, or payment for contract research.
Faculty members may not receive additional compensation while on sabbatical leave except for nominal honoraria or travel reimbursements. However, faculty on sabbatical may receive research funds from UCB sponsored research projects (if they will be working on these projects during the leave). Such “Research Leave” is often used during a partial salary sabbatical to bring the level of salary up to 100% (e.g., a 67% salary sabbatical may be supplemented by 33% salary from ERSO-held funds). Sabbatical pay may also be supplemented up to 100% by a host university when a faculty member is engaged in a research or teaching project furthering the purpose of the leave.