Course Buyout Request

Name*

First NameLast Name

Email*

example@example.com

Buyout Term*

Buyout Year*

Funding:

Course buyouts can only be requested by faculty who have secured funding to support the full course buyout (4.16% of budgeted salary per credit hour/12.5% per course). The funding can come from grants, contracts or professorship funds.

Requests should be for a minimum of three credit hours.

CREDIT HOURS to be bought out:

Budgeted Salary*

To determine your budgeted salary, log into Firefly, Click on the "Employee Self Service Tile," and click on the "My Employment" tile. Your budgeted salary will be listed under Employee Position Overview.

Buyout Summary

Cost Type	Cost
Salary Cost	{buyoutSalary}
Benefits Cost	{buyoutBenefits}
Total Cost	{totalBuyout}

Buyout Salary Cost

Buyout Benefits Estimate

Total Buyout

Funding Type:*

GrantContractProfessorshipOther

Cost Center Number: *

Cost Center Name: *

Please upload a copy of your final approved grant budget or contract.

Please explain the purpose of the buyout that identifies your intended use of the additional time. *

Please explain the significance of the activities to be undertaken during the buyout.

Please indicate your understanding of the following policies:

Have you met with the Associate Dean for Academic Programs and the Associate Dean for Faculty Affairs regarding this course buyout request?*

YesNo

Please provide any additional information that will aid in processing this request.