Texas A&M University-Texarkana
Faculty Workload Reassigned Time Request

College:            Semester:      Year:

Name of Faculty Member Whose Workload Is Impacted:


Notification of Student Supervision

Number of Semester Credit Hours of Load Credit
Assigned for Student Supervision of Instruction
Course Prefix and Number


Semester Credit Hours Assigned to Grant
Funding Source
Period for which Grant or Contract Funding is Available

Petition for Approval of Time Reassigned

Semester Credit Hours to be Reassigned
Code for Requested Reassignment


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Deadline for submission of report or deliverable by faculty member who received reassigned time approval due in deanís office ten days after the last class day of the term.