Enter approved leave information into PeopleSoft prior to the beginning of the development leave.
For more information, see the Board of Regents Policy: Employee Development, Education, and Training and the University Administrative Policy/Procedures: Professional Development for Academic Professional and Administrative Employees.
Leave Information – attach additional information if necessary
Reason for Requesting Leave:
Location of Leave:
Outline of Program/Studies or Other Work Proposed:
The University of Minnesota is an equal opportunity educator & employer.
2009 by the Regents of the University of Minnesota.
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List other income to be received during development leave including any grant or scholarship monies:
Dates and types of previous development leaves – Attach any corresponding “Report of Leave” documents, if available
I will submit a report on my development leave to the responsible administrator within one month of returning.
In the event that I do not return to the University of Minnesota for a period at least equal to the period of the leave, I agree to following terms except in the case where a written waiver is granted:
I will reimburse the University of Minnesota for any salary paid during the development leave, and
I will reimburse the University of Minnesota for its share of the retirement contributions and insurance premiums paid during the development leave.
I have disclosed all other salary or compensation for services to be received during this leave.
Requested in accordance with the Board of Regents Policy: Employee Development, Education, and Training and theUniversity Administrative Policy/Procedures: Professional Development for Academic Professional and Administrative Employees.