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Reimbursed Release Time Agreement Request
Please enter the information below
(fields marked with
*
are required)
Last Name*
First Name*
Department*
SFSU ID No.
(optional)
Email*
Phone*
Project Director Name
(if different from above)
Email
Phone
Semester*:
______________
Fall
Spring
Other
(If C/Y Faculty or MPP, please specify dates:
Year*:
__________
2008
2007
2006
Agreement 1
Grant account number*
Amount of release time*
(i.e., 20% or 3 wtus)
Agreement 2
Grant account number
Amount of release time
Work load information:
Course/Assigned Time
Time base or wtus
*
*
Comments:
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