ࡱ> }|'` &fbjbjLULU <===MMA===Me?e?e?e?/88  Coliste na hOllscoile, Corcaigh ҹ޸þ College Cork APPLICATION FOR SABBATICAL RESEARCH LEAVE College of Sabbatical Research Leave is defined as leave to undertake research or other appropriate study related to an individuals academic or professional field. Such leave may be granted to a member of staff to engage in activity which will enhance his or her research standing and in turn the universitys standing.  To be completed by the applicant Name ________________________________________________________________________ School/Department_____________________________________________________________ Dates for which leave of absence is requested: (Sabbatical Research leave is granted for a specified period, but not exceeding twelve months at any one time i.e. periods of 3-6 months/ periods in excess of 6 months and up to 12 months). From__________________ to_________________ a) Purpose of Leave Summary of the work to be carried out (reference to institutions or archives to be visited, fieldwork, fellowships or grants, academic contacts to be pursued etc): b) Financial Arrangements Please specify whether you are applying for Sabbatical Research Leave with Fully Paid %, Unpaid %or Partial Salary% ___% (where partial indicate % of salary) The granting of a period of research leave must have no cost implications for the ҹ޸þ. Where a cost is incurred in the replacement of a staff member, either fully or partially, such payment will be deducted by the ҹ޸þ from the staff members salary. Any balance that may remain will be subject to normal tax and other statutory deductions. In addition, any financial support or stipend you may receive from a host institution or other relevant body will be deducted from any salary payable by UCC. Please provide relevant details if you will be in receipt of a stipend: c) Intended Outcomes: Please indicate intended outcomes from the period of sabbatical research leave requested, including publications and other research outputs, benefits to you as an individual, to your School/ Discipline/ Department and/or to the ҹ޸þ. Please include detailed evidence of your research plans while on leave. d) Details of Previous Research Leave Please indicate all instances of sabbatical leave taken outlining the dates relating to each period of sabbatical research leave. Please outline outcomes from previous research leave, including publications, papers presented or any other research outcomes and attach a copy of your completed reports in respect of these periods of sabbatical research leave this requirement only applies to the three most recent periods of leave. (Your College Sabbatical Research Leave Committee may request copies of books, articles or other such materials). e) Full Record of Publication and Achievement in Research: Please use the space below to record your progress in developing your research career to date (which should include a list of publications, information relating to research funds obtained and any research achievements/ awards. Where relevant to your application for sabbatical research leave, you may provide details of your contribution to teaching and the university/community including administrative activity). I certify that the foregoing information is correct and agree to the reallocation of my office, where appropriate, for the period of leave of absence. Signature of Applicant ______________________________ Date ______________________ Thank you for completing this section of the Sabbatical Research Leave Form. Please forward the form to your Head of School/ Discipline/Head of Department as specified below. S/he will complete the remaining sections of the form. For applications from multi-disciplinary Schools, the Head of Discipline completes Section B & C of the form which must then be countersigned by the Head of School. For applications from single discipline Schools or Departments, or other academic units not part of a School, the Head of School/Department completes Section B & C of the form.  Applicants Name: _______________________________________________ Heads of School/ Department are advised that under the Freedom of Information Act, 1997 individual members of staff may request access to Personnel records. Personnel Records are included in the definition of 'personal information' under the Act and are therefore subject to a broad level of access by the individuals concerned. Documentation included in the Sabbatical Leave Application process normally would be defined as Personnel records, and, therefore, would be accessible by individual members of staff on request. For your information, under the terms of the legislation, accessibility to such records is backdated to April 1995. Name of Head of School/ Department/ Discipline: _____________________________________________________________________________ Please assess the suitability of the above candidate's application for Sabbatical Leave under the headings provided. a) Purpose of Leave b) Intended Outcomes Please assess the statement made by the applicant regarding intended outcomes. c) Overall Record of Publication and Achievement in Research/Teaching/Administration including the Outcomes of Previous Research Leave: Please use the space below to assess the progress of the applicant in developing her/his academic career to date and provide comment on the applicants statement in this respect. d) Support for Request for Sabbatical Leave Please tick as appropriate. I do % do not % support the Request for Sabbatical Leave In the event that you do not support the application for Sabbatical Research Leave, please provide detailed reasons: Signature of HoS/HOD/HoDis:______________________ Date:________________________  In the event that you support the Request for Sabbatical Research Leave, please complete the following section, confirming that satisfactory arrangements are in place in respect of the applicants teaching, postgraduate supervision and administrative duties during the period of leave. Please return the completed application form to the relevant Head of College for consideration by your College Sabbatical Research Leave Committee a) Undergraduate Teaching Module Codes: ____________________________________________ No. of Lecture hours for the period in question: ____________________________ No. of hours of tutorials / laboratory sessions / practicals / fieldwork / clinical supervision etc. for the period in question: ________________________________________________________ Proposed arrangements in respect of the applicant during his/her absence, including arrangements for payment: b) Postgraduate Teaching Module Codes: _______________________________________________________ No. of Lecture hours for the period in question: ___________________________________ No. of hours of tutorials / laboratory sessions / practicals / fieldwork / clinical supervision etc. for the period in question: ________________________________________________________ Proposed arrangements in respect of the applicant during his/her absence, including any arrangements for payment: c) Postgraduate Supervision Please outline any arrangements that are in place to cover duties relating to postgraduate supervision. d) Administrative Duties Nature of Duties (e.g. Course-co-ordinator; examination co-ordinator etc): Proposed arrangements in respect of the applicant during his/her absence, including any arrangements for payment: e) Financial Arrangements Please comment in detail on the financial arrangements relating to the application: I certify that the information supplied by me is correct and I agree to the conditions regarding re-assignment of office space, where appropriate, by the ҹ޸þ during the applicant's leave. Signature of HoS/HOD/HoDis:______________________ Date:________________________     PAGE 5 PAGE 1  SECTION A Details of Application SECTION B Heads Comment on Application for Sabbatical Research Leave Section B and C (where relevant) are to be completed by the relevant Head of School/ Discipline/ Department as specified below and returned to the relevant%=Ybi|} , - > | ' ʻ~uqjf[ShG~EnH tH hHrhG~EnH tH hG~E h~5CJh hJ56CJhB#56CJ h~h~h~jhB#UmHnHuh h B*nH phtH h B*nH phtH hHrh B*nH phtH hB#B*nH phtH  h~CJh~ hN5CJ h~5CJ!jhN5CJUmHnHu%=>ij|} , - | } $a$ $@&a$gdBf$@&a$ $9Da$gd $a$$@&a$**%f' + g j &澹}vkhAh'mH sH  hAh' h:[h' h:[h{XQ h:[CJ, h:[5CJ h{XQ5CJ h'5CJ hACJhAhAaJhA h~5 ht^CJ h~CJh'h'5h'h%y5h'h~5h}4 h~CJh~hG~EnH tH htEnH tH % j k gd'gd:[$a$gdA$h^ha$gd'$a$$@&a$&\aCQhijklostuwz'*EZr¼ hhA5CJh|_h] h~CJhBfhrKSht^h< h1h1h"Vh1h~ h~5 ht^CJ h'h' h'5hvh' h'CJhAh'CJhvnH tH h'nH tH hAh'nH tH .}~ijklmnopqrstuvw$@&a$gdt^gd1 $a$gd'$a$gd' $9Da$gd'$a$gdkgd`$@&a$.EKr{;Vuw0358ADEHL_ǟ{wsssokoh hdhwh<h"V h"VCJ hRZCJ h~CJ h1!hR h1!hX h1!h_ h1!h~h?@ABCD $a$gdg$a$gdd$a$gdkab#2A2jsmntzȿznznznbzhB*nH phtH hqB*nH phtH hHrh2UB*nH phtH hq56CJh56CJhH56CJhzO56CJh2U56CJh%56CJh~56CJ h~CJhhTeCJaJhh~CJaJhh^i.h~hh{hdhRZ" !"#$%&'()*+,-./0123456789:;<==>?@AB12stvxyz{$a$gd~ $ a$gd $ a$gd{$ a$$a$$@&a$ BLMWX^dprtuvwy{们䠜{uoi`ZQKE h~CJ h~CJhmeh~aJ haJh~h~aJ h~aJ hhaJ hTeaJ h3aJ'jh~h36UaJmHnHu h~6CJh~hB*nH phtH hHrhkuB*nH phtH hkuB*nH phtH  hHrh2U5B*nH phtH hqB*nH phtH hHrh2UB*nH phtH hB*nH phtH {|}~GHxyzA$a$^gdh^gdPT^gdmegdX@$a$gd$a$ $^a$gdme $^a$gd$a$gd~GHX^vwxzABEZ\]^_cdgx𸴰~zvrnjzc h'=Eh'=Ehhmeh:[h\Ah'=E hhh h~@ hme@h~@CJhmeh~@CJhb)hv<hX@hhPTh#hX@@CJh h(6hhhX@6hhh~6hhh~56CJh~ hPTCJ hmeCJ&ABWXYZ[\]^_`abcyzgd'=Egd'=Egd$a$'(67ijk%&(),Uo      n p !$!\!b!d!f!h!r!!!ȱȱȥȫ{ h_GyCJ hhhhc hc5CJ hMe5CJ h5CJ hCJ h?%CJ h~CJ, h~6CJhk;t hCJ h~CJh hhhhVh~ hi4hi4hi4h:[h\Ah~@CJ0jk !"#$%&'$a$gdgdi4'(Urn p Z!\!^!`!b!d!f!h!j!l!n!p!r! 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