Fillable Flex-request - Flex Workshop Request form FINAL _2_

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Flex-request - Flex Workshop Request form FINAL _2_

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San Diego Community College District
Flex Workshop Request
Complete and submit form at least 5 working days before the workshop
Only one request per form
School
Department
Group
District wide
Department
Phone
Academic Year
Workshop Title
Workshop Location
Workshop Capacity
# of Flex Hours
Start Date (mm/dd/yy)
End Date (mm/dd/yy)
Start Time
End Time
Workshop Proposal
1.
Briefly describe the workshop
Explain how this activity is tied to the criteria listed in number 2 and how it will improve instruction
SS FLEX 04/11
Travel is involved with this workshop. Where?
Note: Workshops involving travel outside SDCCD will require individuals to complete a Travel Request Without
Expenses form. Please contact the Business Office for further information.
Cost to participant, if any? Amount
Equipment required?
Requestor Signature
Date
Appropriate Activities Including but not limited to:
Integrate/Develop Course Outline (1)
Develop new syllabus (1)
Revise existing instructional program (1)
Participate in articulation/matriculation activity (6)
Interact with colleagues to improve instruction (7)
Review new textbook (3)
Explore alternate instructional methods (1)
Revise existing course outline (1)
Update/revise learning resources (3)
Develop new instructional skills (2)
Create new learning/teaching materials (1, 2, 3)
Review of instructional software (2, 3)
Visit program-related sites (2, 3)
Develop new instructional program (1)
COMMITTEE USE ONLY
ACTION:
Input
Dean/Chair
Requestor notified of status and workshop number:
Need clarification or further instruction
Signature
Date
2.
Project Type – Select all that apply from below (see BELOW for some examples of activities 1, 2, 3)
Course instruction and evaluation (1)
Staff development, in service training and instructional improvement (2)
Program and course curriculum or learning resource development and evaluation (3)
Student personnel service (4)
Learning resource service (5)
Related activities, such as student advising, orientation, matriculation services, and student, faculty, and staff diversity (6)
Department or division meetings, conference workshops and institutional research (7)
Other duties as assigned by the District (8)
The necessary supporting activities for the above (9)
NOTE: Numbers in parentheses correspond to item number 2
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Flex-request - Flex Workshop Request form FINAL _2_

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Completed 22 February 2020

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