Course Release Application

Course Release Period *

Fall semester (September 1 – December 31) Spring semester (January 1 – May 31)

Other:

The Course Release period is the time period when you expect to take the course release. Activities undertaken during the course release period may extend beyond that period. The application may be submitted up to one year in advance of the Course Release period.

Please list any additional course release time you will receive for other duties during the same period.*

If none, enter "NA"

Applicant Name *

First Name

Last Name

Applicant CWID*

Applicant Title *

Applicant's Mercy University Email*

example@mercy.edu

Applicant School Affiliation *

Please specify your affiliation.*

What type of research are you proposing?*

Seed research to pave the way for larger research projects Scholarship of discovery (original research) Scholarship of integration (synthesis of information across disciplines, topics, or time) Scholarship of teaching and learning

The expectation is that you will use the course release for research and development of an external grant proposal, and possibly for publication, or to pave the way for larger research projects. You may check more than one box.

What sorts of activities will you pursue in the course of your research or scholarly work if you are granted a course release?*

Develop grant proposal Develop publication or public presentation Attend workshop/seminar related to research or scholarly project Continuing professional education Service project

You may check more than one box.

Additional activities not listed above?

What is the TITLE of your research or scholarly project? *

Estimated date of research or scholarly project completion *

Project Summary *

(LIMIT = 300 WORDS)*In the project summary, start with a problem and purpose statement for the research or scholarly activity, and build a case for the relevance of your project within the literature. (This is NOT a literature review). Please write for those unfamiliar with your discipline.

RELEVANCE to Professional Development and Teaching/Learning *

(LIMIT = 200 WORDS)*How will your research or scholarly project contribute to your professional development? How will results or findings be disseminated? How will the research or scholarly project contribute to your teaching at Mercy University? How does this align with the Mercy University mission and values?

Please describe the specific project activities and estimate the time you plan to devote ot each one.*

Does your project involve human/animal subjects or databases?*

Yes No

You will need IRB approval for any research that involves human or animal subjects.

Have you applied to the IRB? *

Yes No

NOTE: Course releases may be granted contingent on IRB application, though human subjects research cannot commence without IRB approval.

Do you have a CITI training certificate?*

Yes No

History of project.*

Provide a concise history of your project, including information about preliminary research or planning, previous financial support (grants and other awards), publications produced, and resources or research facilities available. List any print or electronic research products with dates of publication; where applicable, the list should indicate the publisher and print or production runs. If the project has a website, provide the URL (address). If work on the project will continue after the period of a Mercy University Faculty Development Course Release award, provide details about that work and probable sources of support.

Please list any research collaborators

Please list any funding sources you anticipate for your project. *

Please briefly describe any prior Faculty Development awards you may have received.*

If none, enter "NA"

If you did not complete your last Faculty Development award-supported project, please explain why.

Have you discussed this research or scholarly project with your School Dean?*

Yes No

Dean's Name*

First Name

Last Name

Dean's Mercy University Email*

example@mercy.edu

This application will be forwarded to your dean.

The Faculty Development Committee cannot consider your application for course release without the dean's consent.

Have you discussed this research or scholarly project with your Academic Unit Head (AUH)? *

Yes No

AUH's Name*

First Name

Last Name

AUH's Mercy University Email*

example@mercy.edu

This application will be forwarded to your academic unit head (AUH).

The Faculty Development Committee cannot consider your application for course release without the AUH's consent.

Date of application*