Application for Reduced Teaching or Clinical Duties for New Faculty Parents

Name

Title:

Department:

School:

Estimated date of birth or arrival of child:

For adopted children, age at adoption:

Start date of requested reduced teaching or clinical load:

End date of requested reduced teaching or clinical load:

List the courses you would normally teach during the period of reduced teaching:

 

For clinical faculty: Specify the 90-day period of reduced clinical duties being requested:

For clinical faculty: Specify the clinical duties you would normally have during the period of reduced clinical duties:

 

Eligibility under this policy is different from (and more limited than) eligibility under the policies for new parent tenure clock and appointment extensions.  A faculty member using this reduced teaching and clinical duties policy would normally be the sole care giver for at least twenty hours during the work week during the hours from 8 a.m. to 7 p.m., Monday through Friday; this policy is not intended for parents whose newborn or newly adopted child is cared for more than half-time by either a spouse/partner and/or a childcare provider. Estimated number of hours per week (M-F, 8 a.m. to 7 p.m.) during which the child will be in your sole care; indicate other proposed childcare arrangements, if any:

 

Signature:________________________________________            Date: _____________

Approved:________________________________________            Date: _____________
Department Chair

Approved:________________________________________            Date: _____________
School Dean's Office

Approved:________________________________________            Date: _____________
Secondary/Joint Department Chair

Approved:________________________________________            Date: _____________
School Dean's Office

 

 

9/1/2007