2018 2021 CBA
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APPENDIX V
SABBATICAL LEAVE APPLICATION
TITLE PAGE
Name: Date:
Department:
Date of Full-Time Employment at the College: _______________________________________
Date of Previous Sabbatical (If Any): ______________________________________________
Length of Sabbatical Requested _____ Full-Year _____ Half-Year _____ Semester
If Requesting a Half-Year Sabbatical, please choose one of the following.
_____ Summer D session and Fall Semester ______ Spring Semester and Summer B session
If Requesting a One Semester Sabbatical, please choose one of the following.
_____ Fall Semester _____ Spring Semester
The following signatures do not necessarily imply approval, but are necessary for appropriate
notification to supervisors:
Department Head
Dean
Total application must be typed and
cannot exceed four (4) 8 ½” x 11" pages.
If you are chosen for a sabbatical leave, you will be required to sign a contract
which specifies the required employment period following the return from the leave.
Approval of pursuit of a degree or coursework contained within the sabbatical
application does not imply approval for the Educational Achievement Incentive Pay.
2018 2021 CBA
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SABBATICAL LEAVE APPLICATION
Respond to all statements. Applicant is limited to no more than three typewritten 8 ½" x
11" pages excluding the title page.
NAME: DATE:
1. Describe the purpose and nature of your sabbatical proposal.
2. How will your sabbatical leave benefit students, the department, and the College?
3. How will the sabbatical upgrade your personal and professional development?
4. Other than your primary duties at the College, what have been your contributions
to the College and/or the community?
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