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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.php.

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: Choose Start Date
Stop date: Choose End Date

Will the requested leave cause any courses to be either not taught or taught by an irregular faculty member?
Yes No

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

Academic year during which the leave will be taken:

2008-2009 autumn quarter winter quarter spring quarter points
Course taught
Qualifying course?
Sabbatical/LWOS
Salary offset
Other*

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

2007-2008 autumn quarter winter quarter spring quarter points
Course taught
Qualifying course?
Sabbatical/LWOS
Salary offset
Other*