11/19
San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
APPLICATION F
OR SABBATICAL
LEAVE
FORM
COVER SHEET
ID #
College/Center Assignment
Date Name
Please answer the following questions:
1. Have you ever taken a sabbatical leave?
Yes No
If so, when?
2. Have you ever taken any other kind of long-term leave? Yes No If so, when?
3. Have you been employed in this district for six (6) consecutive years? Yes No
CONSULT YOUR CAMPUS PROFESSIONAL ADVANCEMENT COMMITTEE FOR SPECIFIC DEADLINES (See Part V of Leave Procedures)
Sabbatical Leave Options and Amount of Compensation Requested
In accordance with the applicable provisions of the California Education Code and the Policies
and Procedures of the San Diego
Community College District, a sabbatical leave is requested for the following period of
the 20 - 20 school year.
10 Month Employees
11/12 Month Employees
Full academic year (50%)
Fall semester only (100%)
Spring semester only (100%)
Two non-sequential semesters
within a 36-month period (50%)
Full fiscal year (50%)
First six months of the Fiscal Year (100%)
Second six months of the Fiscal Year (100%)
Quarter (indicate 1st, 2nd, 3rd, or 4th)
Two nonconsecutive quarters (100%)
Two months in summer for three
consecutive summers (100%)
Academic Coursework
Retraining
Research
Teaching, Learning, & Appropriate Instructional & Student Services Activity
Method of Compensation
The employee requests that sabbatical leave compensation be paid under the plan checked below:
A. Option 1: If the leave is for a period of one year, the faculty member may receive compensation in two equal
installments at the end of the first and second year of service rendered in the District following return from leave.
If the leave is for a period less than one year, the faculty member may receive the total compensation at the end of
the first year of service rendered in the District following return from leave.
B. Option 2: Regardless of the length of leave, the faculty member may receive compensation in the same manner
as if he/she had remained in active service.
C. For adjunct faculty only: Compensation will be paid out in one semester equal to their average FTEF from the
previous two semesters worked.
Adjunct faculty may not choose Option 1 or Option 2.
Date:
See reverse side for plan and abstract format. Refer to SDCCD Sabbatical Leave Procedure for specific
information. This document is available online. A sample is included.
Fall semester only
Spring semester only
Purpose of Leave
semester - 20 ___-20___
semester - 20 ___-20___
semester - 20 ___-20___
&
(
(
(
)
)
)
Signature of Applicant:
My Sabbatical Abstract and Plan are attached.
Signature of Applicant:
Adjunct Employees