ST. CLOUD STATE UNIVERSITY 
SABBATICAL LEAVE REPORT (FACULTY)
(Please complete and submit this report to your dean within two months of completion of sabbatical leave.) 
Name:       	Date:       
Sabbatical Leave Period:       
I.	Brief summary of leave: 
     

II.	Achievements  (list course work completed; publications, research, et. al.) 
     

III.	Assessment of value of sabbatical leave (benefits; faculty development;  
future professional activities…) 
     
Sabbatical Leave Report – Page 2  
Dean’s Comments: 
Met conditions of sabbatical: 		______ Yes 		_____ No 
_________________________________________
Dean’s Signature 

Provost/Vice President’s Comments:  
_________________________________________
Provost/Vice President’s Signature 

Upon completion of the provost/ vice president’s review, copies will be sent to each of the following: faculty member, department chair, college dean, chair of SCSU Faculty Association’s Professional Improvement Committee, Human Resources Office.  

Academic Affairs 
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