San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
APPLICATION FOR SABBATICAL LEAVE FORM
Cover Sheet
Name
ID #
College/Center Assignment
Date
Please answer the following questions:
1. Have you ever taken a sabbatical leave? Yes No
My sabbatical Abstract and Plan are attached.
3. Have you been employed in this district for six (6) consecutive years? Yes No
THE DUE DATE FOR ALL SABBATICAL LEAVES IS THE THIRD FRIDAY IN FEBRUARY (See Part V of Leave Procedures)
If so, when?
2. Have you ever taken any other kind of long-term leave? Yes No
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.
Sabbatical Leave Options and Amount of Compensation Requested
If so, when?
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 fiscal year (50%)
First six months of the Fiscal Year (100%)
Two months in summer for three
Quarter (indicate 1st, 2nd, 3rd, or 4th)
Second six months of the Fiscal Year (100%)
Academic Coursework
Teaching, Learning and Appropriate Instructional and Student Services Activity
Research
Retraining
A.
B.
Full academic year (50%)
Fall semester only (100%)
Spring semester only (100%)
Two non-sequential semesters
within a 36-month period (50%)
( semester, 20 -20 )
( semester, 20 -20 )
and semester, 20 -20 )
consecutive summers (100%)
Two nonconsecutive quarters (100%)
Purpose of Leave
Method of Compensation
The employee requests that sabbatical leave compensation be paid under the plan checked below:
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.
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.
Signature of Applicant
DateSignature of Applicant
9/08
Print Form
9/08
(Application for Sabbatical Leave)
Please number all pages in consecutive order (so that the committee can be sure that there are no pages missing).
Applicants, chairs, and deans should be careful not to list applicant's name anywhere on the application except on
the cover page and the signature sheet.
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.
2
9/08
3
San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
(Application for Sabbatical Leave)
Recommendations and Signatures:
Department Chair Recommendation:
Recommend Conditional Recommendation* Not Recommended*
Dean/Manager Recommendation:
Recommend Conditional Recommendation* Not Recommended*
College Professional Development Committee Chair
Recommend Conditional Recommendation* Not Recommended*
Vice President Recommendation:
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
Date
Sabbatical Leave Recorded by Human Resources Date
Signature Date
Signature Date Ranking
Signature Date
Name of Applicant ID# Campus Site Phone
Signature Date
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