Application Form

Sabbatical (Long-Term Leave, Paid)

Application Form 

The application form includes all criteria for evaluation. Only complete applications will be considered by the committee. Please make sure that you thoroughly complete each section and include all required documents and signatures. 

Applicants are expected to connect their projects to Lane's Core Values and/or Strategic Directions.

Please submit completed applications in PDF format to

Please Note: This application has been recently been revised and there are substantive changes from previous versions. Read through the document carefully. Applications that are posted as examples do not necessarily meet the requirements of this new version. Applicants may request mentors for assistance with the application.

You may contact FPD Coordinator, Brooke Taylor,, for additional information.