Fillable APPENDIX V SABBATICAL LEAVE APPLICATION TITLE PAGE (Pensacola State College)

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APPENDIX V SABBATICAL LEAVE APPLICATION TITLE PAGE (Pensacola State College)

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2014 – 2015 CBA
V-1
APPENDIX V
SABBATICAL LEAVE APPLICATION
TITLE PAGE
Name: Date:
Department:
Date of Full-Time Employment at the College: _________________________________
Date of Previous Sabbatical (If Any):
Job Responsibilities:
Education
Degree: Major Year:
Degree: Major Year:
Degree: Major Year:
Are You Requesting a: Full Year /Half Year /Semester _____
Sabbatical?
Leave Dates Requested: From to
Specify Semesters: From to
The following signatures do not necessarily imply approval, but are necessary for
appropriate notification to supervisors:
Department Head Dean
Vice President, Academic Affairs
Total application must be typed and
cannot exceed four (4) 8 ½” x 11" pages.
2014 – 2015 CBA
V-2
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.
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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APPENDIX V SABBATICAL LEAVE APPLICATION TITLE PAGE (Pensacola State College)

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Completed 23 July 2020

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