ࡱ> w{v;  "bjbj 4hhK nn8 ~(*(Q: '''''''$*^-\#(/"Q#(nn_8( n8' ' :%,Y&p4LǠ-% 'N(0~(&R--Y&Y&-m&| #(#(~(- X 4:  UNIVERSITY OF EXETER APPLICATION FOR STUDY LEAVE/LEAVE OF ABSENCE See Appendix D2 of Core Conditions of Employment Members of staff should discuss their proposals informally with the Associate Pro-Vice Chancellor for Research & Impact, Head of Department before formally submitting this form. PART A: PERSONAL DETAILS Title:First name:Surname:Job role:Faculty:Department:Address for correspondence:Date joined University: PART B: DETAILS OF PREVIOUS LEAVE GRANTED Please give dates of any previous periods of leave and the research outputs resulting from each period of leave. PART C: TYPE AND DURATION OF LEAVE REQUESTED Type of Leave: tick appropriate box Study Leave Leave of Absence Start Date (DD-MM-YYYY)End Date: (DD-MM-YYYY) PART D: REMUNERATION AND FUNDING (NB Leave of Absence is normally unpaid; any variation must be carefully justified on an attached sheet) College funding requested: tick appropriate box Full Pay Half Pay Unpaid Give details of alternative or matched funding sources being sought. If no external sources are being sought please gives reasons for this. PART E: LEAVE LOCATION Leave location: Fully in the UK Fully overseas In the UK and overseasNB: if you need to change your location during your leave, you should contact HR at the earliest opportunity so the new circumstances can be checked from a global employment perspective. Please do not change location without prior approval from your Faculty and HR. Please note that if the leave is located fully or partially overseas, there are additional overseas employment aspects to consider (immigration, labour law, tax, social security and payroll). Please complete appendix I below and follow the process outlined. Overseas study leave applications (fully or partially) must be submitted to the Faculty and HR at least 6 months ahead of the leave start date to allow time for HR to assess the feasibility of the leave from an employment perspective. Overseas study leaves are subject to the principles of the Universitys  HYPERLINK "/staff/employment/globalmobility/principles/" Global Mobility Policy. PART E: PURPOSE OF STUDY LEAVE and PLANNED OUTCOMES Please specify the nature of research/curriculum-related activity, how and where the work is to be carried out and explain how the proposed activity aligns with Faculty Research Plans and the Universitys Research Strategy. Specify also the anticipated outcomes of the period of leave, including the number and type of publications, the intended target publishers and timetable/milestone dates. (continue on a separate sheet if necessary) Signature of applicantDate You should pass the completed form to your Associate Pro-Vice Chancellor for Research & Impact I do support the request for leave as proposed and give my approval in principle pending HR and Director of Faculty Operations approval on the overseas employment compliance and cost aspects. Signature of Associate Pro-Vice Chancellor for Research & ImpactDate You should pass the form to your Head of Department I do support the request for leave as proposed and give my approval in principle pending HR and Director of Faculty Operations approval on the overseas employment compliance and cost aspects. Signature of Head of DepartmentDate ESE/HLS: You should pass the form to your HR Partner for processing. If your study leave is based overseas (fully or partially), please refer to appendix I to complete your application. HASS only: I do support the request for leave as proposed and give my approval in principle pending HR and Director of Faculty Operations approval on the overseas employment compliance and cost aspects. Signature of Deputy Pro-Vice ChancellorDate You should pass the form to your HR Partner for processing. If your study leave is based overseas (fully or partially), please refer to appendix I to complete your application. APPENDIX I OVERSEAS STUDY LEAVE Overseas study leave applications (fully or partially) must be submitted to the Faculty and HR at least 6 months ahead of the leave start date to allow time for HR to assess the feasibility of the project from a global employment perspective. Overseas study leaves are subject to the principles of the Universitys  HYPERLINK "/staff/employment/globalmobility/principles/" Global Mobility Policy. Work overseas can only commence when HR confirmed all compliance aspects are covered and a compliant employment structure and immigration documents are in place. Current work location (country, city) NB. If your normal place of work is outside the UK as per your contract, coming to the UK as part of your study leave is considered as going overseas.  In which country(-ies) will the leave be spent? If multiple countries, please provide a breakdown of periods spent in each country, including the UK.  Immigration status in the country(-ies) listed above (eg. Dual national, permanent / temporary residence holder, require a work permit, other)  Reason for the leave to be based overseas: Research or teaching collaboration with a foreign institutionUniversitys Global Partnerships programme (e.g. VIU etc.)Personal reasons Please provide as much detail about the overseas activity as possible, including details of the foreign institution, which Global Partnership programme (if relevant), whether remuneration is received from the other institution, nature of the activity (teaching or research), is the activity in the public interest only or does it have a commercial purpose?  Please select the activities you will carry on doing for the University during your leave: TeachingResearchPhD SupervisionManagement and AdministrationOther (please specify) Once you submitted this form and your Faculty approved it in principle, your HR Partner will liaise with the HR Global Mobility Team and your Faculty to discuss the feasibility and cost of this overseas leave request. You will be notified in writing of the outcome of this process and the final approval on your leave request. By sending this form, you are giving consent for the HR Team to provide and share your personal data with the relevant internal (HR, Faculty management) and external (specialist advisors) stakeholders to assess and implement the required overseas employment solution to manage your overseas leave in a compliant way.      FILENAME \p FORMS\PD10_Study_Leave_Application(2022).doc PD10 CDRSuv   ! 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