Department of Electrical Engineering Faculty Application for Teaching Leave

As per the EE Department Teaching Policy as spelled out at http://ee.stanford.edu/teaching_policy.php , this form should be filled out when requesting a teaching leave for an academic quarter consistent with the policy. A list of current qualifying courses may be found at http://ee.stanford.edu/qualifyingclasses.html . This form can be printed and filled out by hand, or cut and paste the ascii text into a text processor, complete the form, and email the plain text to vicechair@eemail.stanford.edu.

Name:
Date:
Requested Leave: (Please give exact dates)
Start date:
Stop date:

Will the requested leave cause any courses to be either not taught or taught by an irregular faculty member?

If yes, please list the course number, academic year, and quarter and any substitution arrangements:

Eligible points: (Two-year average should equal or exceed 3.5 points.)

Total points for year:

Academic year prior to that during which the leave will be taken:
2006-2007

	autumn quarter	winter quarter	spring quarter	points
Course taught
Qualifying course?
Sabbatical/LWOS
Salary offset
Other*

Total points for year:

Two year average points:

* E.g., a faculty member's initial year of appointment

Approvals:

AAC Chair or Vice Chair:

Date:

Chair:

Date: