EHHD Course Load Reduction Worksheet

This form is to be completed by the PI after a grant has been awarded. Provide the following information about the course load being reduced with grant funding.


Faculty requesting buyout:




Grant Name:


Grant index number:


Grant end date:


Course Rubric and Number:


Course Title:


# Credits:




10% AY salary:


Amount budgeted in your grant for this buyout:


Proposed Instructor:



Approval – Once signed please give to EHHD HR Officer


 ___________________________________________________                            _____________________________________________

Dept. Head                                                                                        Date


Copy:    EHHD Accountant                                                                                                            Updated July 2017

Dept. Head