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
PRINT FORM
2
11/19
(Applicat
ion for Sabbatical Leave)
w Please number all pages in consecutive order (so that the committee can be sure that there are no pages missing).
w Applicants, chairs, and deans should be careful not to list applicant's name anywhere on the application except on
th
e cover
page and the signature sheet.
w Please be advised that all units taken during a Sabbatical Leave may be used for salary advancement.
Abstract
:
Provide an abstract summarizing the description of your proposed leave plan in a paragraph of about
100 words. This part of your application will become part of the Board Docket. Please include the
following information as part of the abstract:
1. Need for the Professional Growth - describe the purpose of the leave.
2. Sabbatical Activities - describe what you plan to do.
3. Anticipated Outcomes - describe the primary outcome; instructor and classroom teaching
outcomes; professional/faculty relationship outcome; student outcomes.
4. Means of Measurement - describe what evidence you will submit to demonstrate
achievement of your outcomes.
5. Benefit to District
Plan:
Provide a full description of the proposed sabbatical leave including the following
information in your sabbatical plan. It is recommended that you include a separate section for
items 1-6 listed below. As you prepare this plan, it is also strongly recommended that you
consult with the Department Chair/Supervisor and/or School Dean/Manager prior to the third
Friday in February to address any issues or to provide additional information or clarification
regarding the proposed plan. You may also consult with any member of your college's
professional growth/development committee.
1. Need for Sabbatical - how does your plan meet the need for professional growth and
development as well as benefits to the students, colleagues and college?
2. Description of Overall Plan - a detailed course of action that is consistent with the
statement of purpose and nature of the leave.
3. Objectives - What do you plan to accomplish and how will you measure it?
4. Evidence of Completion - reports, video, transcripts.
5. Relevancy to Current/New Assignment and Improvement of Student Learning
6. Timeline - What is the timeline for accomplishing your objectives? This timeline
must take place only during the semester of your proposed sabbatical leave.
3
11/19
San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
(Application for Sabbatical Leave)
Recommendations and Signatures:
Name of Applicant ID# Campus Site Phone
Department Chair Recommendation: Signature Date
Recommend Conditional Recommendation* Not Recommended*
Dean/Manager Recommendation: Signature Date
Recommend Conditional Recommendation* Not Recommended*
College Professional Advancement Committee Chair
Signature Date Ranking
Recommend Conditional Recommendation* Not Recommended*
Vice President Recommendation:
Signature Date
Recommend Conditional Recommendation* Not Recommended*
President Recommendation:
Signature Date
Recommend Conditional Recommendation* Not Recommended*
*Must include written statement to specify/document conditions or reasons.
Approved by Board of Trustees on
Sabbatical Leave Recorded by Human Resources
Date
Date