WPC+ e2-D2B-D\e+ʻWR 3a]Q3B_5"}m9#7$6+{pӭеO<*%~fb?k9u ,hLT}\ LG:X W($(Il3vᵖ-GT 93Bb۾%V6@!jtRA"oTm:ɹ9ȣIIkitJ.y\"4."y aC#`s0Nc>|,A; iy^=D;0<>ifrf zM5s LIOzlwɬ-ڡw:= r%?9<#1C)* 4g@?"?7bO.Π2;j&j3@ƨ 1N^3bgYId>iY CFaȴ|Pf#V7e:_8U >vN 0 0 0 0 0 0# 06 0I 0\ 0o 0p 0q 0r 0s 0t 0u 0v 0w 0x 0x 0x 0x 0x 0x 0x 0x! 0x" 0x# 0`$ 0>r$ 0 k$$$"%r=%h%r&& 0 N& 0&#'UNX* %*M*(*N*^ *w*4** m+V+hm+\  `&Times New Roman' (Revised 10/2006)   0 .   2[+[ 0_level1   , 8.` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level2   X 8.` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level3    8.4` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level4    8.` ` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level5    8. ` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level6    8. ` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level7   4 8. ` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level8   ` 8.` hp x (#823  ..   8.` hp x (#8  2[+[ 0_level9    8.<` hp x (#823  ..   8.` hp x (#8  2[[ 0_levsl1   , 8.` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl2   X 8.` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl3    8.4` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl4    8.` ` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl5    8. ` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl6    8. ` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl7   4 8. ` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl8   ` 8.` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levsl9    8.<` hp x (#823  Ԁ   8.` hp x (#8  2[[ 0_levnl1   , 8.` hp x (#823     8.` hp x (#8  2[[ 0_levnl2   X 8.` hp x (#823     8.` hp x (#8  2[[ 0_levnl3    8.4` hp x (#823     8.` hp x (#8  2[[ 0_levnl4    8.` ` hp x (#823     8.` hp x (#8  2[[ 0_levnl5    8. ` hp x (#823     8.` hp x (#8  2[[ 0_levnl6    8. ` hp x (#823     8.` hp x (#8  2[[ 0_levnl7   4 8. ` hp x (#823     8.` hp x (#8  2[[ 0_levnl8   ` 8.` hp x (#823     8.` hp x (#8  2[[ 0_levnl9    8.<` hp x (#823     8.` hp x (#8  h:Default ParaDefault Paragraph FontXXX`:Footnote RefFootnote Reference($  0  H4HyperlinkHyperlink        O http://www.ipfw.edu/senate/document/2006-07/SD06-19.htmlhttp://www.ipfw.edu/vcaa/promotion/sabbatical.shtmlhttp://www.ipfw.edu/senate/document/2006-07/SD06-14.html#|x(O$(@$..      ,X8XX,XX8XX,X8HP LaserJet 5M,,,,0(9 Z6Times New Roman Regular,XW*95 ׆7caa-deUhttp://www.hr.ipfw.edu/forms/payroll.shtmlhttp://www.ipfw.edu/vcaa/forms/PDFs/OAAMemo05-5.pdf *@!..      ,XXX,XXXX,X  _  p     (Revised10/2007) (#    p0p x (#X0Q*XX QXXINDIANAUNIVERSITYPURDUEUNIVERSITYFORTWAYNE  | E.` hp x (#XE   `     h      p   0p x (#X0Q3 3  APPLICATION FOR SABBATICALLEAVEXXԈ H E.` hp x (#XEXXInstructions :Completetheapplicationaccuratelyandlimittheinformationandmaterialstothose  = requestedintheapplication.AlsocompletePart1onlyofHRSForm33F,availableat  # 46 )O  5  !  http://www.hr.ipfw.edu/forms/payroll.shtml! *  6)*  7 yԀandreturnitwiththisapplication.   1.  (a) ` Applicant: k   X Q  (b) ` Title: 7   X X_(c)_ ` Department:   h      p _FTE_: S   X X(d) ` RecordofemploymentatIPFW:   X Dates   h   Rank    X(e) ` Monthandyeartenuregranted: 3  X2.  Thisisanapplicationfor: O   (RefertoOAAMemo055at47 )O  5  !  http://www.ipfw.edu/vcaa/forms/PDFs/OAAMemo055.pdf! *  64 )H *  7 #v Ԁ) 5 Ѐ  Academicyearfaculty&librarians:   X XB.` hp x (#XB򀀀OneSemesteratFullPay     p 򀀀OneSemesteratHalfPay  򀀀TwoSemestersatHalfPay   p 򀀀TwoSemestersatOneQuarterPay   X XB.` hp x (#XBӀ  &*%XX*XX%&*Fiscalyearfaculty&librarians:   }  X XB.` hp x (#XB򀀀SixMonthsatFullBasePay   p 򀀀SixMonthsatHalfBasePay c  򀀀OneYearatHalfBasePay   p 򀀀OneYearatOneQuarterBasePay I!   X XB.` hp x (#XB  &*%XX*administrativesupplements,ifapplicable,willberemovedforthesabbaticalleaveperiod /"! XX%&*3.  TitleoftheProject:   h      p    #K# 4.  (a) ` Locale: %!%  X(b) ` Institution: &!& _(c)_ ` Partieswithwhomyouwillbeworking: '"'  X5.  Expectedstartingandterminationdateoftheproject: _)$)  --). _  XB.` hp x (#XB6.  Ifyouhavereceivedanyofthefollowing,pleasespecifythedateandtitleoftheproject.In  addition,indicateinthevitathatistobeenclosedwiththisapplication(see13)what  resultedfromthesegrantsandleaves,resultsbothpublishedandunpublished. |   XB.` hp x (#XB X(a) ` FacultySummerGrant H  X X(b) ` InstructionalDevelopmentGrant  d  X X(c) ` Sabbatical  0  X XB.` hp x (#XBListadditionalsupportforresearchorinstructionaldevelopmentthatyouhavereceived    inthelastfiveyears:    XE.` hp x (#X(#E  XE.` hp x (#X(#E7.  References.Atleastoneletterofreferenceisrequired,inadditiontoaletterofsupport ` fromthechairofyourdepartment(or,ifyouareachair,fromyourdean/director). F Lettersofreferenceshouldaddressthesignificanceofyourproposedproject.Atleast , oneshouldbewrittenbythepersonwhoisbestabletocommentonthesignificanceof  yourprojectfortheprofessionorthecommunity.Thisoftenisanoutsidepersonbut  maybesomeonefromIPFWiftheyareinvolvedwiththeproject.Theletterfromyour  chairordean/directorshouldaddresshowtheleavewillcontributetoyourprofessional t development. Z   XE.` hp x (#X(#E  Listthenames,titles,addresses,andtelephonenumbersofpersonsfromwhomreference &v   lettershavebeenrequestedandindicatetheirknowledgeoforrelationshiptoyour  \   project: B 8.  DescriptionofProject: p!   X V"! (a) ` Objectivesandexpectedaccomplishments: <#"  X X(b) ` Methodsandplanofwork: ' #'  X -n(-   XE.` hp x (#X(#E8.  (continued)    XE.` hp x (#X(#E  E.` ` hp x (#X(#E(c) ` Relationshipsbetweenthepossibleresultsfromthissabbaticalandtheupdating | andstrengtheningofyourprofessionalskillsandhorizons,andtheimportanceof b thisprojecttotheUniversity: H   E.` hp x (#` X(#E  XE.` hp x (#X(#E9.  Discussfollowthroughaftersabbatical(suchasapplicationofproceduresdeveloped, ^  publications,researchareaforstudents,etc.): D    XE.` hp x (#X(#E  XE.` hp x (#X(#E10.  Listexperienceintheproposedsubjectarea:    XE.` hp x (#X(#E  XE.` hp x (#X(#E11.  Willitbenecessaryforyoutoseekexternalsourcesofsupportforthisleave?Ifso,  explain:    XE.` hp x (#X(#E $ XE.` hp x (#X(#E12.  Otherrelevantinformation,ifany: "$r#  %X $  %>!%  &$"&  ' #'  (#(  )$) 13.  Attachabriefprofessionalvitaandanypertinentpaperspublished. l*%*  R+&+  8,',   XE.` hp x (#X(#E_ -n(- $ $O $  0   14.  Attachacopyofyourdepartment/divisioncriteriaforthegrantingofsabbaticalleaves*  (SeeSD0619at4% )O  5  !  http://www.ipfw.edu/senate/document/200607/SD0619.html!&*  _68&)L&*  7  z&_Ԁ).|(#(# 0     *OptionalforapplicationssubmittedFall2007;requiredforapplicationssubmittedFall b 2008andafter)H(#(#   XE.` hp x (#X(#E15.  ObligationsoftheFacultyMember:  d   XE.` hp x (#X(#E XE.` hp x (#X(#E(1)AnymemberoftheIndianaUniversityPurdueUniversityFortWaynefacultytaking  0 sabbaticalleaveofabsencetherebyobligateshim/herselftoreturntotheUniversityand    continueserviceforatleastoneadditionalacademic/fiscalyear ,orfortwo    academic/fiscalyearsifreturningasaPurdueUniversityfacultymemberunderthe   partialretirementplan .Intheeventofbreachofthisobligation,thefacultymemberis x  obligatedtoreimbursetheUniversityforallcompensation(includingcostoffringe ^  benefitspaidduringtheperiodofsabbaticalleave). D   XE.` hp x (#X(#E XE.` hp x (#X(#E(2)Thefacultymemberisalso obligatedtosubmitaspecialreportcoveringhis/her ` professionalactivitiesduringthesabbaticalleave(seesabbaticalreportformat F  4& )O  5  !  http://www.ipfw.edu/vcaa/promotion/sabbatical.shtml!h.*  _6.)0.*  7 ^._Ԁ). Thisreportmustoutlinehow , thesabbaticalperiodwasused,whatoutcome s wereachieved,andindicatefurther  outcomesthatareexpectedasaresultofthesabbaticalproject(seeSD0614at  4' )O  5  !  http://www.ipfw.edu/senate/document/200607/SD0614.html!0*  _60)0*  7 0_Ԁ).Thereportshouldbe  submittedwithin6monthsfollowingthesabbaticalleaveperiodandinclude,where t appropriate,anexplanationofsignificantchangesfromtheoriginalproposalandthe Z resultofthosechanges. @   XE.` ` hp x (#X(#E &v   Thereportshouldbesubmittedtoandsignedbythedepartmentchairand  \ theschool/collegedean,whothensendsittotheViceChancellorfor B AcademicAffairs. (  E.` hp x (#` X(#E     фInsigningthisapplication,theapplicantsignifiesthathe/shehasreadandagreeswiththese   conditions. p!    Signature:______________________Date:___________ <#" Ѐ  ChairsandDeans: %>!%  XE.` hp x (#X(#E PleaseforwardtotheOfficeoftheViceChancellorforAcademicAffairsthroughthe &$"& appropriateadministrativeoffices.Attachwrittenrecommendationsrelatedtothis ' #' sabbaticalleaveapplicationfromrelevantdepartmentalordivisionfacultycommittees (#( (SeeSD0614andSD0619). )$) Approved:______________________Date:___________ R+&+ DepartmentChairperson 8,', Approved:____________________Date:___________ .T). Dean/DivisionDirector .:*/   XE.h` hp x (#X(#E   E.` hp x (#hX(#E