Experiential Learning Unit Release Application Experiential Learning Unit Release Application REQUEST FOR ONE UNIT RELEASE TIME FUNDING Submitted to the Experiential Learning Advisory Board Release Time applications for either Spring 2017 or Fall 2017 are due September 30, 2016. Name: Department: Phone Number/Extension: Campus Mail Box Number: Release time requested for: Course to be released: Course title or co-curricular program to be developed: Please attach a 2-3 page statement addressing the application criteria specified in the guidelines. Attach Files Please attach memorandum from department chair or program director addressing the application criteria specified in the guidelines. Attach Files In typing my name and the date in this box, as the applicant, I agree to provide to my department chair or program director a written report as specified in the guidelines and in the current University Resources for Faculty Professional Development document within 30 days of the completion of the semester in which the released unit is provided. The report will then be forwarded to Associate Dean Renee Houston for the Experiential Learning Faculty Advisory Board. Name and Date: