REGISTRY
SABBATICAL LEAVE APPLICATION FORM (For Non-teaching Staff only)
(Application Form should be completed online)
1. Staff Personal Information:
i. Name of staff: _____________________________________________________
ii. Staff File No.: _____________________________________________________
iii. Unit: _____________________________________________________________
iv. Rank: ____________________________________________________________
v. Position held: ______________________________________________________
vi. Date of first Appointment: ____________________________________________
vii. Official Email: ….@alhikmah.edu.ng. Phone No.______________________
2. Leave Details
i. Type of Sabbatical Leave (Administrative, Industry, or Others) please specify
ii. Duration of Leave (Specific dates):_____________________________________
iii. Purpose of Leave (Brief description): __________________________________
3. Leave Plan
i. Objectives of the sabbatical leave:______________________________________
ii. Expected outcomes or achievements:____________________________________
iii. Plan for completing tasks or ensuring continuity of work during leave:_________
4. Supporting Documents
i. Letter of sabbatical appointment from host institution/industry: Available ( ) Not Available ()
ii. Proposed activities or work plan (you may attach to application form)
5. Leave Schedule
i. Date of leave: From________________________To:_____________________
ii. Expected return date:_______________________________________________
6. Contact information during Leave
a. Staff Information:
i. Address: __________________________________________________
ii. Phone Number: _____________________________________________
iii. Email: ____________________________________________________
b. Sabbatical Employer’s Information:
i. Designated Unit:______________________________________________
ii. Address: ____________________________________________________
iii. Phone Number: ______________________________________________
iv. Email: ______________________________________________________
7. Recommendation
i. Recommendation from Head of Unit:
Recommended ( ) Not Recommended ( )
Name:_______________________ Signature:___________Date:____________
ii. Recommendation from Registrar:
Recommended ( ) Not Recommended. ( )
Name:_______________________ Signature:___________Date:____________
8. Vice-Chancellor’s Approval
Approved ( ) Not Approved ( )
Name:_______________________ Signature:___________Date:____________
SABBATICAL LEAVE APPLICATION FORM (For Academic Staff only)
(Application Form should be completed online)
1. Staff Personal Information
i. Name of staff:_____________________________________________________
ii. Staff File No.: ____________________________________________________
iii. Department/ Faculty: _______________________________________________
iv. Rank: ___________________________________________________________
v. Position held: _____________________________________________________
vi. Date of first Appointment: ___________________________________________
vii. Official Email:…@alhikmah.edu.ng. Phone No.________________________
2. Leave Details
i. Type of Sabbatical Leave (Research, Study, or Other), please specify__________
ii. Duration of Leave (Specific dates):____________________________________
iii. Purpose of Leave (Brief description):)__________________________________
3. Leave Plan
i. Objectives of the sabbatical leave:______________________________________
ii. Expected outcomes or achievements:____________________________________
iii. Plan for completing tasks or ensuring continuity of work during leave:_________
4. Supporting Documents
i. Letter of sabbatical appointment from host institution: Available ( ) Not Available ( )
ii. Proposed activities or work plan (you may attach write-up to application form)
5. Leave Schedule
i. Date of leave: From__________________________To:_____________________
ii. Expected return date:________________________________________________
6. Contact information during Leave:
a. Staff Information:
i. Address: __________________________________________________________
ii. Phone Number: ____________________________________________________
iii. Email: ____________________________________________________________
b. Sabbatical Employer’s Information:
i. Designated Department:______________________________________________
ii. Address: __________________________________________________________
iii. Phone Number: ____________________________________________________
iv. Email: ____________________________________________________________
7. Recommendations
i. Recommendation from Head of Department:
Recommended ( ) Not Recommended ( )
Name:___________________ Signature:______________ Date:____________
ii. Recommendation from Dean of Faculty:
Recommended ( ) Not Recommended ( )
Name:___________________ Signature:______________ Date:____________
8. Vice-Chancellor’s Approval
Approved ( ) Not Approved ( )
Name:__________________________ Signature:______________ Date:____________
Note: The softcopy of the filled form and other relevant documents should be forwarded to the official e-mail address (registrar@alhikmah.edu.ng) of the Registrar on or before 20th September, 2024.