Fillable Exempt Employee Short-term Prof Dev Proposal Leave of Absence Form3

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Exempt Employee Short-term Prof Dev Proposal Leave of Absence Form3

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U.S.A. forms for Central Oregon Community College

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Exempt Employee Short-Term Professional
Development Proposal - PART 1
PART I: APPROVAL
DEPARTMENT
TITLE
COCC ID
#
NAME (Last, First, Middle Initial) DATE PREPARED
COCC recognizes the value of short-term (10 working days or less) professional development opportunities for
exempt employees such as conferences, trainings, workshops and related activities. Funding for professional
development must be approved by employee’s supervisor prior to spending the funds. Complete the form as
indicated below. Part I – Request for approval must be obtained by the supervisor prior to event. Employees are
encouraged to use the Exempt Employee Short-Term Professional Development Proposal and Debrief Form.
2.
How will this experience be of benefit to you and COCC?
PERIOD OF
LEAVE
BEGIN DATE
END DATE
YEARS OF
CONTINUOUS SERVICE
Dates and Location of Professional Development:
1. Title, Description and Purpose of Professional Improvement Event:
PART I: APPROVAL
3.
REV 06.20.2017
Recompensable Items are paid for from the Department's Professional Travel and Development budget.
Item Cost Approved
Professional development funding will support exempt employees working .5 FTE or more.
Human Resources Review
Eligibility Met
Supervisor Signature
DATE
DEPARTMENTAL AND BUDGET REVIEW
EMPLOYEE SIGNATURE
DATE
Budget Review
Personnel Cost $
Date
Signature of HR Representative
Copy to:
•Supervisor
•Employee
•Employee File
Short-Term Professional Development Proposal
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Exempt Employee Short-term Prof Dev Proposal Leave of Absence Form3

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Completed 8 February 2020

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