Faculty Liaisons in coordination with the faculty member should submit this form to request a sabbatical change.  If the sabbatical change request is a postponement of more than three semesters (that is, when it will not take place either within the same academic year that the sabbatical was to take place or the next academic year), this form should not be used and the faculty member should submit a new application for sabbatical. Please see:  https://www.colorado.edu/facultyaffairs/career-milestones/leaves-and-sabbaticals/sabbaticals for more information.

Liaison Information:

Faculty Information:

Signer One Information:

Signer Two Information:

Signer Three Information:

Signer Four Information:

Signer Five Information:

List CCs Below: