Grant-In-Aid Educational Leave Award ProgramApplication Form
Application Deadline: Monday, March 13, 2023 by Noon
Departmental Replacement FundingThe replacement funding to be appropriated to a recipient’s department for each full-time award is up to $5,000 for a Faculty or A&P award and up to $3,000 for a SP award, depending on funding availability.
Please ensure that your application has the following attachments to complete this form:
I understand that if I am awarded an educational leave under this program, I am expected to continue employment with Florida Gulf Coast University for one calendar year following the completion of the educational leave. I agree to execute a Promissory Note agreeing to repay the prorated amount of my gross salary and any stipends paid to me during my educational leave if I resign or if I am terminated from my employment with Florida Gulf Coast University before the one-year period ends.
If selected for participation in the Grant-In-Aid Educational Leave Award Program, I agree to participate in any follow-up assessments conducted by the administrators of the program and assist with any other requests that may be necessary to facilitate the administration of the program. I certify that the information provided is true and accurate.
The employee’s supervisor must also sign the application. The signature of the supervisor indicates that they are aware of the employee’s application for the award and supports the leave if it is awarded. It is the supervisor’s responsibility to inform the person that is directly responsible for managing the department/unit (Dean, Director or Department Head) of this application. The supervisor confirms that the applicant currently has a minimum performance evaluation rating of “Meets Expectations”.
Please prepare a personal statement for the selection committee to review and discuss the following: