Tenure Track Research Leave Pre-Application Form

Fields marked with a * are required.

First name:

Last name:

Department:

Email address:

Title of proposed project:

In what academic year do you plan to take your leave?

Abstract (200 maximum):

Project description (2-3 pages):

Funding 1

Source of funding 1:

Name of competition/program

Submission/due date:

Are matching funds required?

If yes, please provide an indication of the type and amount of support required:

Funding 2

Source of funding 2:

Name of competition/program:

Submission/due date:

Are matching funds required?

If yes, please provide an indication of the type and amount of support required:

Funding 3

Source of funding 3:

Name of competition/program:

Submission due date:

Are matching funds required?

If yes, please provide an indication of the type and amount of support required: