Sabbatical Leave Application for Academic Year 2024-2025

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NOTE: If submitting two plans, you are required to submit two separate applications titled Plan A and Plan B. If submitting a second application because you are unsure the first one will work out, please title your preferred application, Plan A and the second application, Plan B.

Email *

PART I - Signature Page

An electronic copy with signatures is to be submitted to the SLC Administrative Assistant separately.
Download the signature page, sign electronically, and send via email.
https://drive.google.com/file/d/1WjbC1vAY7HsiY4MJACHFTvf688SwbIMG/view?usp=sharing

Name *

Department *

Date Submitted: *

YYYY

Full-time Hire Date (semester and year): *

Academic School year of sabbatical leave requested (for example: 2024-2025): *

Select the period of sabbatical leave requested: *

One semester

One-year at 50% compensation (do not include unbanking)

Variable (approval of Superintendent/President required prior to submission of application).

Indicate semester of preference *

Fall

Spring

Date of proposed return to full-time service (if unbanking):

Prior to submitting your application, perform the following steps. Check off each one to acknowledge that you have: *

Step 1: Notify your Department Chairperson (or equivalent) of your intent to request a sabbatical leave, giving him/her the opportunity to consider staffing, budgets, previous evaluations and other issues.

Step 2: Notify your Dean (or equivalent) of your intent to request

Step 3: Notify your Vice President (or equivalent) of your intent to request a sabbatical leave, giving him/her the opportunity to consider staffing, budgets, previous evaluations, SLO assessment calendar, and other issues.

Step 4: Submit your Sabbatical Leave Application Signature Page electronically to the SLC Administrative Assistant prior to the deadline. The SLC will review applications and make recommendations for revisions.

Required

PART II - Abstract of Sabbatical Leave Application

Check the type of sabbatical leave: *

Advanced Academic Studies (Select Advanced Academic Studies only if all 12 semester/18 quarter units are upper division/graduate credit. Otherwise, choose Self-directed studies.):

Self-directed studies

Required

Abstract: In the box below, clearly state the purpose(s) of the proposed sabbatical leave (try to keep the abstract to 200 words or less). *

PART III - Identification of Objectives, Description of Proposed Activities & Documentation

OBJECTIVE #1: *

a) My objective:

b) How I plan to accomplish my objective and anticipated outcome:

c) Documentation and estimation of time spent on my activity:

OBJECTIVE #2 (if applicable):

a) My objective:

b) How I plan to accomplish my objective and anticipated outcome:

c) Documentation and estimation of time spent on my activity:

OBJECTIVE #3 (if applicable):

a) My objective:

b) How I plan to accomplish my objective and anticipated outcome:

c) Documentation and estimation of time spent on my activity:

OBJECTIVE #4 (if applicable):

a) My objective:

b) How I plan to accomplish my objective and anticipated outcome:

c) Documentation and estimation of time spent on my activity:

Total Estimate of Hours for all objectives (minimum of 576 hours) =

PART IV. - Explanation of Contribution to District

A. Explanation of how my activities will contribute to my professional development:

B. Explanation of the anticipated short- and/or long-term benefits of your project on the following groups: students, department, college, and/or community. Include specific information on SLOs, PSLOs, Core Competencies and/or equity, diversity and inclusion.

THIS IS THE END OF THE SABBATICAL LEAVE APPLICATION

A copy of your responses will be emailed to the address you provided.

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