UFHPTI Academic Leave Request UFHPTI Academic Leave Request Form Please use this form for leave related to conferences and other academic events. "*" indicates required fields Today's Date* MM slash DD slash YYYY Name* First Last UFID* Dates of Leave (include weekends):* Total number of work days away:* Your total academic days remaining prior to this request:* Type of Leave Requested* Academic Academic + Vacation Please note: Academic time is 20 days/year, no carryoverConference or Event Name:* Conference/Leave Destination:* Leave Purpose:*Please include talk titles or any other applicable information.Number of Academic Leave Used Prior to this Request:* Conference Dates and Names of Previous Leave Requested:*Specify dates of vacation:* Funding Source(s)* Research Grant, Chair or Professorship Academic Allotment ($4000/year, no carryover) Meeting Organizer Radiation Oncology Department in Gainesville (must have prior approval) UFHPTI (must have prior approval) Check all that applyGrant, Professorship or Chair information:*Amount of Academic Allotment remaining prior to this request:* Cost Estimates* Flight Hotel Registration Meals Other Please enter travel estimates based on best estimates or known costs.Flight costs:* Hotel costs:* Registration costs:* Meal costs:* Other costs:* Please name the physician(s) from your disease site team(s) who will be out during the requested time off (according to the Physician Coverage Calendar in Outlook):*Will someone need to cover your OTVs during this time?* Yes No Please name coverage provider:* Has any outside compensation been earned for this leave?* Yes No Please select one of the following outside compensation sources and refer to the paragraph below:* Study Section Medical School/Hospital Grand Rounds Academic Activity for Non-Profit Paid Expert Witness (Not eligible for Academic Leave) For-Profit Entity (Not eligible for Academic Leave) Please note: If approved in advance by the Chairman, a faculty member may be involved in outside activities which provide compensation to the employee. Academic leave cannot be used for service as a paid expert witness or for activities generating any other outside compensation from a for-profit entity. If you are offered an honorarium from a non-profit entity (beyond travel reimbursement) there is an option to direct those funds to the Rad/Onc Department Foundation Account using the attached instructions. If you plan to keep the honorarium, then for those outside activities that occur during the typical work schedule of Monday-Friday, 8:00AM-5:00PM, annual leave must be used for all hours missed.CAPTCHA
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DEFINING OPTIMAL TREATMENTS Annual Research Seminar The seminar has three concurrent programs for radiation therapy, oncology nursing, and radiation oncology.
EXPLORE THE UF Health Cancer Center Our Mission is to prevent, detect, treat and ultimately cure cancer while addressing the unique challenges of the cancer burden faced by the people we serve.