Matt Form Test

Waiver Request Form (v2 April 2023)

Waivers: Tenure Clock Extensions, Leaves of Absence, Conversions, Dual Roles and Track Changes

Requestor(Required)

First Last

Email(Required)

Department(Required)

Waiver for:(Required)

First Last

What kind of waiver are you requesting?(Required)

Tenure clock extension-new hires

Tenure clock extension-current probationary faculty

Leave of absence-probationary faculty

Leave of absence-temporary assignment

Leave of absence-tenured faculty

Academic staff appointment for former probationary faculty

Dual role appointment for academic staff

Tenure clock extension - new hires

Extensions of the tenure clock that do not involve a leave of absence or temporary assignment. New hires (establishing probationary periods for new faculty positions)

Please submit all of the following items:

Candidate's current curriculum vitae
Signed and dated endorsement by the relevant dean (can be included on the chair/director's letter)

Letter from the chair/director/dean justifying the request. This letter should:

state the vote of the executive committee (or its delegate, FPP 5.22A.)
present in some detail the rationale for the request
include that the extension has been discussed with the candidate and the candidate agrees to the extension
provide the ending date of the probationary period and the mandatory review date, both from the original offer letter and as a result of the requested extension

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Tenure clock extension - current probationary faculty

Extensions of the tenure clock that do not involve a leave of absence or temporary assignment. CURRENT PROBATIONARY FACULTY (includes faculty members under contract, even if actual appointment has not begun)

Please submit the following items:

Correspondence from the probationary faculty member documenting the circumstances, including dates of occurrence or anticipated timeline of events impacting progress towards tenure. (If the request is for reasons of disability or illness, the probationary faculty member is not requered to disclose the nature of the illness or details of the medical condition in this letter. See "Confidentiality of medical information")
Faculty member's current curriculum vitae
Letter from the guidance (mentor) committee supporting the request
Signed and dated endorsement by the relevant dean (can be included on the chair/director's letter)

Letter from the chair/director/dean including:

Date and the results of the executive committee vote (or its delegate, FPP 5.22A.)
Department's rationale for supporting the request
Relevant supporting documentation, which would include the DDR's assessment if the request if for reason of disability/medical condition
Ending date of the probationary period and the mandatory review date, both those in effect at the time of the request and what they would be if the extension is granted

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Leave of absence - probationary faculty

All requests for leaves of absence that substantially interrupt the ability of a probationary faculty member to establish, within the normal probationary period, a record that would warrant the granting of tenure require the approval of the University Committee (FPP 7.20.) and, by nature, are understood to include a tenure-clock extension (i.e., stop the tenure clock).

Please submit the following items:

Correspondence from the probationary faculty member documenting the circumstances, including dates of occurrence or anticipated timeline of events impacting progress towards tenure. (If the request is for reasons of disability or illness, the probationary faculty member is not requered to disclose the nature of the illness or details of the medical condition in this letter. See "Confidentiality of medical information")
Faculty member's current curriculum vitae
Letter from the guidance (mentor) committee supporting the request
Signed and dated endorsment by the relvant dean (can be included on the chair/director's letter)

Letter from the chair/director/dean including:

Date and the results of the executive committee vote (or its delegate, FPP 5.22A.)
Department's rationale and circumstances approving the leave (including the DDR assessment if the request is for reason of disability/medical condition)
Expected impact on the department
Leave history of the requesting faculty member for the past five years
Assessment of the likelihood that the faculty member will return to campus at the end of leave

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Leave of absence - temporary assignment

Temporary assignment for probationary faculty is similar to a leave of absence, but it does not interrupt the tenure clock (FPP 7.20.). Temporary assignments include leaves where the probationary faculty member is participating in research or instructional activities (and is therefore continuing to establish a scholarly record) but is not on the university payroll. When A temporary assignment exceeds one year, the University Committee's approval is required.

Please submit the following items:

Letter from the requesting faculty member describing the nature of the leave
Faculty member's current curriculum vitae
Letter from the guidance (mentor) committee supporting the request
Signed and dated endorsement by the relevant dean (can be included on the chair/director's letter)

Letter from the chair/director/dean including:

Date and the results of the executive committee vote (or its delegate, FPP 5.22A.)
Department's rationale and circumstances for approving the leave
Expected impact on the department
Relevant supporting documentation
Leave history of the requesting faculty member for the past five years

File(Required)

Max. file size: 24 MB.

Leave of absence - tenured faculty

For tenured faculty, leaves of absence that exceed one year or the equivalent of three semesters in three years require the approval of the University Committee.

Please submit the following items:

Letter from the faculty member describing the nature of the leave
Faculty member's current curriculum vitae
Signed and dated endorsement of the relevant dean (can be included on the chair/director's letter)

Letter from the chair/director/dean including:

Date and the results of the executive committee vote (or its delegate, FPP 5.22A.)
Department's rationale and circumstances for approving the leave (including the DDR's assessment if the request if for the reason of disability/medical condition)
Expected impact on the department
Relevant supporting documentation
Leave history of the requesting faculty member for the past five years

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Conversion of a probationary faculty appointment to an academic staff appointment

A probationary faculty appointment may not be converted to an academic staff appointment except upon recommendation by the appropriate departmental committee and the University Committee and approval by the chancellor. Such a conversion may not be made to circumvent the decision between promotion to tenure and nonretention (FPP 7.06.C.)

Please submit the following items:

Letter to the University Committee from the department chair, director, or dean describing the reason for the waiver and the nature and length of the proposed appointment
Candidate's current curriculum vitae
In those cases where the new appointment is to be made at the departmental level or within an institute or center, a report of the date and vote of the executive committee (or its delegate, FPP 5.22.A.), or the equivalent in an institute or center, and signed and dated concurrence endorsement of the relevant dean are required

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Dual role appointments for academic staff

A dual role academic staff appointment is one in which an academic staff member holds a full-time appointment in one role and subsequently is appointed to a second role

Please submit the following items:

Academic staff member's job description prior to the rule waiver
Academic staff member's current CV
Letter from the academic staff member demonstrating their willingness to take on the new responsibility.

Letter from the chair/director describing:

Reason for the rule waiver
Identify whose position, if any, the academic staff member will replace
How the department will address the problem that it is solving through the dual appointment once the term of the waiver is complete
The sources of funding for the position (e.g., 101, 133, 144) and how the academic staff member's total percentage effort is spent (research, teaching) relative to those funds

Attach PDF(Required)

Accepted file types: pdf, Max. file size: 24 MB.