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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*:   
  (If C/Y Faculty or MPP, please specify dates: 
Year*: 
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:
example
         
Course/Assigned Time   Time base or wtus    
 *    *    
     
     
     
     
         
         
Comments: 
         
         
 
         
 
 
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