ࡱ> gjf zbjbjR1R1 FP0[g0[gl  jjjjj~~~8\~t+*******$D.0+j+jj4.+Fjj**r+(T+)Kd(*D+0t+(1tR1+)1j+)++"t+1 X 0:   STUDY LEAVE FOR RESEARCH APPLICATION FORM Teaching Faculty Applicant to complete form and pass to Head of School or Director of Research according to deadline set by the School. The application will be considered in accordance with (i) the Universitys Guidance Notes for the Request and Granting of Study Leave for Research and (ii) the Schools internal processes for considering such applications. The decision to grant leave rests with the Head of School. For approved applications, the Head of School should pass the application form back to the applicant to confirm approval of the leave, no further confirmation is required. A record of the leave should be held in the School and a copy of the form should be emailed to the Human Resources department. Name: Employee ID (found on your payslip): Department: School:Job Title: Probation completed: Yes / No Period of Leave: Date/s From: To: Paid/Unpaid Leave (delete as appropriate) Teaching and Administration: Please set out your responsibilities/duties that would need to be covered during your requested period of leave  Research Students: The normal expectation is for supervisors to continue to work with their students whilst on leave. If this is not possible, e.g. because of research being conducted abroad, please set out the circumstances, list your research students and detail your proposed arrangements for their supervision  Externally and Internally Funded Past Leaves for Research: Please provide information on the periods of leave, with dates, that you have had granted over the past five years - both internally and externally funded. Please attach a list of your publications over these five years and star those that are attributable to research accomplished in your last period of School funded leave. Research Objectives for the Leave: Please provide a detailed description of your intended research, indicating current status of the research and your intended outcomes from the leave. Please note that, within one month of completion of study leave for research, all colleagues are required to submit a 500 1,000 word report describing the research conducted, outlining any resulting publications and demonstrating that the intended outcomes of the leave has been achieved.  *Location during leave: If you are proposing to conduct your research in another country, for reasons connected to research or for personal reasons, please provide details below (country, dates, duration etc). You will need prior authorisation to work outside of the UK as this may involve significant additional cost to you and/or the University. ________________________________________________________________________ Applicants signature: Date: Print name: Please send form to Head of School or Director of Research ___________________________________________________________________________ Head of Schools signature: Date: Print name: For School Use Only, to be completed in accordance with Schools internal process for considering and granting Study Leave for Research Comments of Head of DepartmentComments of Teaching and Learning CommitteeComments of Head of Research GroupComments of Research Committee Salary and Pension Employee to receive full salary for this period of study leave YES/NO (Please ensure this form is sent to HR to ensure there is no overpayment) Employee to receive part salary for this period of study leave YES/NO (If part please provide full details and FTE) University to continue making USS contributions for this period of study leave YES/NO Employee will receive no salary/USS pension contributions during this period YES/NO Employee to self-fund USS pension contributions during this period YES/NO  *NB advice must be sought from HR and Finance by the Head of Department or Head of School on costs and implications of any overseas working before such an arrangement is agreed.      0@ABqxڻ~qaXI:hxhCJOJQJaJhxhx1RCJOJQJaJhx1R5OJQJhh5CJOJQJaJhu5CJOJQJaJhhA5CJOJQJaJhhw5CJOJQJaJhN65CJOJQJaJhhx1R5CJOJQJaJ=jhN6hN6B*OJPJQJU^JaJmHnHph# u.hN6B*OJPJQJ^JaJmHnHph# uh 5CJOJQJaJ0AB   0 $ $Ifa$gd} $ a$gdxgd$ & F ^a$gd$ ^a$gdu$ & F ^a$gd:J$ a$$ a$x [     Ŷ񘘘}n^O?h} h)R5CJOJQJaJh} hCJOJQJaJh} h5CJOJQJaJhhCJOJQJaJhxh CJOJQJaJhxCJOJQJaJhxhCJOJQJaJhxh)RCJOJQJaJhxhN6CJOJQJaJhxhuCJOJQJaJhxhu5CJOJQJaJh7FCJOJQJ\aJhxh/TCJOJQJaJ   , - . / 0 1 = > F G R S f h q r s   ಲಲ|oo`Ph4th4t5CJOJQJaJh Qh QCJOJQJaJh Q5CJOJQJaJhkh5CJOJQJaJh4t5CJOJQJaJhkhCJOJQJaJh} h5CJOJQJaJh} hCJOJQJaJh} h)RCJOJQJaJh} hkh6CJOJQJaJh} hkhCJOJQJaJh} hkh5CJOJQJaJ0 1 = > F xhhh$ $Ifa$gd} kd $$Ifl0I(Z[ t0644 lapyt} F G R S q xhhh$ $Ifa$gd} kd3!$$Ifl0I(Z[ t0644 lapyt} q r s xo_____$ $Ifa$gd} $ a$kd!$$Ifl0I(Z[ t0644 lapyt}     uuuuuuuuu$ $Ifa$gd} $ a$pkdg"$$IflI(( t0644 lap ytx    4 E  ²¢ғssscsTEh} huCJOJQJaJh} h%-HCJOJQJaJhbhu6CJOJQJaJh} hu6CJOJQJaJh} hu5CJOJQJaJhhCJOJQJaJh} hu6CJOJQJaJh} h%-H6CJOJQJaJh} hkh6CJOJQJaJh} hkhCJOJQJaJh} hkh5CJOJQJaJhh&.CJOJQJaJ wwwwwww$ $Ifa$gd} $ a$nkd"$$IflI(( t0644 lap yt} ]^_`a˻yyn^O?hAh,t6CJOJQJaJhAhACJOJQJaJhAhA5CJOJQJaJhx1R5>*OJQJhhAOJQJh,t6CJOJQJaJhb6CJOJQJaJhbhb6CJOJQJaJhb5CJOJQJaJhbhb5CJOJQJaJhx1ROJQJhhCJOJQJaJh} h%-HCJOJQJaJh} huCJOJQJaJ ^t $$Ifa$gd,t$a$$ a$pkdo#$$Ifl I(( t0644 lap ytx^_`a=>?@ABC $$Ifa$gd$:$a$jkd#$$Ifl I(( t0644 layt7F h<=>?@ABCDEFGPQ]^jչ}kkkkkkkkkkk"h}t}h7F6CJOJQJ]aJh}t}h7FCJOJQJaJ"h}t}h7F5CJOJQJ\aJh QOJQJh OJQJhh^^OJQJhAh$:CJOJQJaJh^^6CJOJQJaJh$:6CJOJQJaJhAh,t6CJOJQJaJhA6CJOJQJaJ"CDEFz$$Ifa$gd}t}l $a$jkdn$$$IflC I(( t0644 layt7F$&=BLMUt~1?@CWXYƶobbUUh Q6CJOJQJaJhN66CJOJQJaJh h,(6CJOJQJaJh hx1R6CJOJQJaJh Q5CJOJQJaJhfLl5CJOJQJaJh$:5CJOJQJaJh h$:5CJOJQJaJh^^5OJQJh$:5OJQJh7FOJQJh}t}h7FOJQJ(h}t}h7F56CJOJQJ\]aJXYe$a$gd Q$a$pkd$$$IflC I(( t0644 lap yt}t}YCdefɷzrbVJbVb=b=hhq 5CJOJQJaJhh^^5OJQJhhhq 5OJQJhhq hhq 5CJOJQJaJhx1ROJQJ"hhq hx1R56CJOJQJaJ"hhq hhq 56CJOJQJaJhx1R5OJQJh hx1R6CJOJQJaJ"hnhb56CJOJQJaJh Qh Q5CJOJQJaJh h Q5CJOJQJaJh Q5CJOJQJaJh Q5OJQJefu $$Ifa$gdlkdm%$$IflI(( t0644 layt$ $$Ifa$gd4$a$ $$Ifa$gdhq lkd%$$Ifl(I(( t0644 layt$  Cjuz}~478C\dfg㿨}hS})hxhcB*CJOJQJ^JaJph)hxhxB*CJOJQJ^JaJph&hh5B*CJOJQJ^JaJph,h'$hc5B*CJOJQJ^JaJph,h'$h3p5B*CJOJQJ^JaJph,h'$h$5B*CJOJQJ^JaJphhhq 5CJOJQJaJhhhq 5OJQJhhq hhq 5CJOJQJaJ $$Ifa$gdlkdi&$$Ifl&I(( t0644 layt4t  ~8fghi12 $$Ifa$gd4lkd&$$IflI(( t0644 laytcghi(+.12>C!05jһһҧҐ鐧|pgRRRRRRRRRRR(h7Fh7F56>*CJOJQJ]aJhc5OJQJhh45OJQJ&h Pi5B*CJOJQJ^JaJph,h'$h Pi5B*CJOJQJ^JaJph&hh5B*CJOJQJ^JaJph,h'$h$5B*CJOJQJ^JaJph,h'$h3p5B*CJOJQJ^JaJph,h'$hR5B*CJOJQJ^JaJph 2klnoqr~vnigiggd+$a$gdfLl$a$gd7F$a$gdOlkde'$$IflB(( t0644 layt$ $$Ifa$gd4 jklmnopqrstuvwxyzh}t}jh}t}Uh~hO5OJQJ(h7Fh\\T56>*CJOJQJ]aJrtuwxyz$a$gdfLlgd+DPPP&P :p . 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