Request from Off-campus Employee for On-campus Graduate School Courses

University of Arkansas Division of Agriculture

Name ______________________	Title _____________________

Years of UA employment__________	Work site ______________

Work assignment___________________________________________

Semester requested to be on-campus __________________________

Graduate program:

Degree sought __________	Date accepted into program ________

Department _______________	Campus____________________

Graduate School Advisor(s) ________________________________________

Title of research project ___________________________________________

Required attachments:

Statement indicating how this degree plan will benefit you and the Division of Agriculture.

Degree plan with a list of courses for the proposed on-campus semester.

Proposed class and course schedule indicating distribution of work and annual leave that will be used each week.

Documentation of accrued annual leave available.

Statement indicating how assigned tasks at your primary duty station will be accomplished while you are on campus.

Statement indicating what work assignments you will accomplish while you are on campus and away from your primary duty station.

Statement from supervisor confirming plans for accomplishing on-site work assignments and for conducting off-site work.

Signature ________________________	Date ____________

Approvals:

Primary Supervisor	____________________	Date ___________

On-campus Supervisor ____________________	Date ___________

Unit Head	____________________	Date ___________

Assoc. Vice President ____________________	Date ___________

Policy and Management Guidelines	PMGS 08-2

Division of Agriculture

PMGS-08-2

Issued January 14, 2008

Graduate School Opportunities for Off-campus Employees - PMGS 08-2

Policy and Management Guidelines - U of A Division of Agriculture

policy,management,guidelines,graduate school,off campus,employees,pmgs08-2

2008-01-16

drinke

UACES