IV. TO BE COMPLETED BY THE DEPARTMENT CHAIRPERSON: Briefly describe how the stated purpose for the fellowship leave is consistent with applicant’s the mission of the department: How does the department intend to cover the courses and related responsibilities at applicant’s the college during the period of the proposed leave? Decision of the departmental committee: Approved Not Approved Name of Department Chairperson: Academic Title: Signature: Date: V. COLLEGE FACULTY PERSONNEL COMMITTEE ACTION Approved Not Approved Name of P&B Committee Chairperson: Academic Title/Department of Division: Signature: Date: VI. COLLEGE PRESIDENT’S RECOMMENDATION Recommended Not Recommended Signature: Date: President’s Or Signature of Designee: Date: President’s VII. BOARD TRUSTEES’ ACTION OF Date: Chancellor’s Report
IV. TO BE COMPLETED BY THE DEPARTMENT CHAIRPERSON: Briefly describe how the applicant’s stated purpose for the fellowship leave is consistent with the mission of the department: How does the department intend to cover the applicant’s courses and related responsibilities at the college during the period of the proposed leave? Decision of the departmental committee: Approved Not Approved Name of Department Chairperson: Academic Title: Signature: Date: V. COLLEGE FACULTY PERSONNEL COMMITTEE ACTION Approved Not Approved Name of P&B Committee Chairperson: Academic Title/Department of Division: Signature: Date: VI. COLLEGE PRESIDENT’S RECOMMENDATION Recommended Not Recommended President’s Signature: Date: Or Signature of President’s Designee: Date: VII. BOARD OF TRUSTEES’ ACTION Chancellor’s Report Date:
2di_Fellowship%20Leave_App.docx