Sabbatical Return Reintegration Plan Form
Use this form to help organize a supportive and effective return-to-work plan after your sabbatical.
Full Name
*
First Name
Last Name
Job Title
*
Department or Team
*
Sabbatical Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sabbatical End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Primary Purpose of Sabbatical
Key Updates or Changes Since Your Leave
Anticipated Challenges or Concerns About Returning
Support or Resources Needed for a Smooth Transition
Preferred Date for Reintegration Meeting
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: