CITY COLLEGE OF SAN FRANCISCO Sabbatical Leave Application and Agreement

Transcription

1 CITY COLLEGE OF SAN FRANCISCO Sabbatical Leave Application and Agreement Instructions 1. Before completing this form, read Article 17.L. of the DISTRICT/AFT Contract. 2. Please type or print your entries. This form may be filled in on the computer. 3. When this form is completed, submit it in person to the Human Resources Office, 33 Gough Street. Applications are due by the close of business on September 8, The staff in that office will issue you a receipt. You will receive notice of the results of your application by October 13, Personal Information Name Department Employee ID Mailbox Home Address City/State/Zip Home Phone Office Phone Sabbatical Type and History I request a leave for: q Study q Research q Travel q I have never taken sabbatical leave q I last took sabbatical leave in Sabbatical Timeframe Indicate your preferences by listing your ranked choices in the boxes below (1 = highest preference, 6 = lowest preference). If you leave an option blank, the Sabbatical Review Committee will assume you are not interested in that option. One Semester (100% Salary), in Fall 2017 One Semester (100% Salary), in Spring 2018 One Year (60% Salary), Fall 2017 and Spring 2018 One Year (60% Salary), Spring 2018 and Fall 2018 Two Non-Consecutive (Split) Semesters (60% Salary) First Semester: Fall 2017 Second Semester: * Two Non-Consecutive (Split) Semesters (60% Salary) First Semester: Spring 2018 Second Semester: * * Must be within a three year period (AFT Contract, 17.L.4.1.a) Sabbatical Application Page 1 of 8

2 AGREEMENT 1. I have read, understand and accept the conditions set forth for accepting a sabbatical leave. I have attached a completed sabbatical leave proposal form. 2. I understand that if I am awarded a one-year or one-year split-semester sabbatical, that I shall receive sixty percent (60%) of my full salary for such period(s). In particular, if I am awarded a split-semester sabbatical, my salary for the academic year will not be averaged, but will switch from 100% of my full salary on the non-sabbatical semester to 60% of my full salary for the sabbatical semester. 3. If I have indicated a preference for a two non-consecutive semester (split) sabbatical, but have not indicated second semester preference, I understand that I must submit an application for the second half of my sabbatical during the Fall application period immediately following return from the first half of a split, or no later than the Fall application period an academic year in advance of the second half of the split. (Article 17.L.4.1.d) 4. I understand if a one-year sabbatical leave is granted, no switching of the beginning semester is allowed. (Article 17.L.4.1.g) 5. I understand that if a one-semester sabbatical is granted, no switching of the semester is allowed. (Article 17.L.4.1.f) 6. I understand that within 60 days of my return to duty, I must submit documentation to the Human Resources Department, in accordance with the type of sabbatical leave and AFT contract, Articles 17.L I understand that upon my return, I must serve at a full load upon my return from sabbatical (two years of service after a one year sabbatical; one year of service after a one semester sabbatical). (Article 17.L.8) 8. I understand that any changes to my proposed sabbatical plans must be approved by the Sabbatical Review Committee in advance of the applicable sabbatical term. SIGNATURE DATE Sabbatical Application Page 2 of 8

3 City College of San Francisco Sabbatical Leave Proposal NAME DEPARTMENT: INSTRUCTIONS: Please complete all applicable sections. Attach additional pages if more space is needed. Your sabbatical report/project/transcript(s), as defined in this proposal and any subsequent modifications approved by the Sabbatical Committee, will be used to evaluate all sabbatical materials submitted upon completion of your sabbatical leave. 1. STUDY SABBATICAL 1.1 Listing of Coursework Below, list the courses you intend to complete while on sabbatical leave. All coursework used to fulfill your sabbatical obligation must be offered by an accredited institution of higher learning and you must receive either a satisfactory letter grade or credit for the coursework completed. Upon completion of your sabbatical leave, an official transcript must be submitted to the Office of Human Resources. Any changes or substitutions in coursework used to fulfill your sabbatical obligation must be reviewed and approved by the Sabbatical Committee prior to enrollment. (Please list 9 semester units of coursework for a one semester sabbatical and 18 semester units of coursework for a one-year or one year split sabbatical) Course prefix and title Units Institution where coursework is to be taken TOTAL UNITS TO BE COMPLETED Sabbatical Application Page 3 of 8

4 1.2 Listing of Alternative Coursework In the space below, please list your alternative coursework. This coursework is to be completed in the event you cannot complete the coursework listed above, and may be taken without further consideration by the Sabbatical Review Committee. If you are applying for a one semester sabbatical leave, please list at least two additional courses. If you are applying for a one-year or one year split sabbatical, please list at least four additional courses. Course prefix and title Units Institution where coursework is to be taken TOTAL UNITS TO BE COMPLETED 1.3 Coursework Rationale Please indicate how the selected coursework will benefit your students, department, and college. Also, indicate how the selected coursework contributes to your professional development as an instructor at City College of San Francisco. Sabbatical Application Page 4 of 8

5 2. RESEARCH SABBATICAL (Project) Below please indicate the subject and nature of your research sabbatical. Indicate specifically the focus of your research and the type of research (e.g. survey, archival, observational, etc.) you intend to conduct. 2.1 Draft Table of Contents Please attach a draft table of contents for your research project. A draft table of contents will enable the Sabbatical Committee to better understand your proposed research and provide clarification regarding the report you will submit upon completion of your sabbatical. 2.2 Research Project Rationale Please indicate how your research project will benefit your students, department, and the college. Also, indicate how your research project contributes to your professional development as an instructor at City College of San Francisco. Sabbatical Application Page 5 of 8

6 3. TRAVEL SABBATICAL (Report) Below please indicate the destination(s) you intend to visit while on sabbatical inclusive of the dates you will be at the stated destination(s). Upon completion, your submitted sabbatical travel report should include a travel itinerary and a detailed description of your travel activities (e.g. photos or a journal). Please include photocopies of your airline tickets and lodging receipts if applicable. Destination s at Destination (Please provide anticipated dates if you have not finalized your itinerary) Total number of days at each destination excluding Saturdays and Sundays* TOTAL NUMBER OF DAYS IN TRAVEL STATUS * You must be in travel status at least 80 percent of your sabbatical leave (i.e. 80 percent of the days representing the instructional calendar for the semester(s) you are on sabbatical leave). Saturdays and Sundays are not part of the instructional calendar and cannot be counted as part of the 80 percent. 3.1 Rationale for Travel Sabbatical Below, please indicate how your travel report will benefit your students, department, and the college. Also, please indicate how your travel report contributes to your professional development as an instructor at City College of San Francisco. Sabbatical Application Page 6 of 8

7 NOTE: Your Department Chair and Dean must review your sabbatical proposal and make a recommendation on approval prior to submission of the proposal to the Office of Human Resources. 4. DEPARTMENT CHAIR REVIEW AND RECOMMENDATION DEPARTMENT CHAIR: I have reviewed this sabbatical proposal and I recommend to the District: q Approval q Disapproval If disapproval is selected, please explain in the space below. Attach additional sheets if necessary. Department Chair 5. DEAN REVIEW AND RECOMMENDATION DEAN: I have reviewed this sabbatical proposal and I recommend to the District: q Approval q Disapproval If disapproval is selected, please explain in the space below. Attach additional sheets if necessary. Comments: Dean Sabbatical Application Page 7 of 8

8 6. SABBATICAL COMMITTEE REVIEW AND RECOMMENDATION 6.1 Eligibility Status q Eligible q Ineligible 6.2 Sabbatical Committee Recommendation q Approved q Provisionally Approved (Revision Required) q Disapproved Sabbatical Committee Chair NOTE: In the event of provisional approval, the Sabbatical Review Committee chair will inform the applicant of the required revisions and a deadline for re-submission. Final approval of the sabbatical leave request is contingent on the applicant successfully completing any required revisions by the deadline date. Required Revisions to complete Provisional Approval: Provisional Approval Deadline: 6.3 Provisional Approval Final Disposition q Approved q Disapproved Sabbatical Committee Chair 7. APPROVAL OF SABBATICAL PROPOSAL Chancellor/Designee Sabbatical Application Page 8 of 8