1. Would this outside activity involve compensation over and above out-of-pocket expenses? YES NO
2. CLASSROOM SUBSTITUTION: Circle one:
No classes would require substitute instruction.
Substitute instruction would be required in the following classes (list course number, hour, and location along with substitute instructor’s last name):
_______________________________________________________________ The alternative arrangement for covering these classes have been approved by the Department Chairperson in a memorandum on file in the department.
3.TIME PERIOD AND AMOUNT OF TIME REQUIRED FOR OUTSIDE ACTIVITY:
This activity would begin ____________ and end ____________ and involve: _______ (hours or days)
My engagement in this outside activity will not interfere with the regular and punctual discharge of my official University duties and responsibilities.
____________________________________________________
Signature of faculty member requesting approval
_______________
Date
RECOMMENDED / NOT RECOMMENDED
____________________________________________________
Dean, College of Law