Intention to Apply for a Faculty Development Leave

By completing and submitting this form, you are requesting access to the DM application portal for faculty development leaves.

Name Name First Last
Rank
Department
College/School
Years at UTA
I have already spoken with my department head or program director and received their approval to apply.

I have already spoken with my department head or program director and received their approval to apply. Yes No
I have already verified with the FDL guidelines that I'm eligible for the program

I have already verified with the FDL guidelines that I'm eligible for the program Yes No