Request for Reassigned Time for Faculty Members Pursuing
Research and Artistic Endeavors
(Reference: Academic Policy Statement 900420) 

 
Proposal Signature Sheet
Title of Proposed Research or Artistic Endeavor:



 

Name of Faculty Member:    
 
Name
Social Security Number
Reassigned Time Request During:    
Choices: Fall Only; Spring Only; Fall & Spring 
Semester(s)
Year(s)

 
Signatures:    
 
Faculty Member
Date

 
       
Recommend Approval Recommend Disapproval Department Chair Date
 
       
Recommend Approval Recommend Disapproval Academic Dean/Director of the Newton Gresham Library Date
 
       
Recommend Approval Recommend Disapproval Vice President for Academic Affairs Date

cc: 
 Associate Vice President for Research and Graduate Studies
Senior Assistant to the Vice President for Academic Affairs

Attachment to Academic Policy Statement 900420, Revised January 2000

 
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