B-1
July 2013
SANTA BARBARA CITY COLLEGE
PROFESSIONAL GROWTH INCENTIVE PROGRAM
EMPLOYEE INCREMENT WORKSHEET
Employee Name: _____________________________________ Date: _________________________
(Please print)
Title: __________________________________________ Increment Requested: 1 2 3 4 5 6 7 8 (circle one)
Department: ____________________________________
Due: April or October (circle one)
NOTE: Employee must attach to this form: Verification of Attendance form(s) / transcripts; Certificates of
Completion, copies of class or seminar agendas, etc. All pages must be labeled with an exhibit letter.
Incomplete application packets will be returned to the employee. The Professional Growth Review
Committee can only consider complete packets.
Please print clearly in ink (DO NOT use pencil).
Date Class / Activity # of Units
Total # of units:
* Exhibit Letter - For the convenience of the Review Committee, supporting documentation must include an exhibit letter.
For Human Resources use ONLY:
(One SEMESTER unit equals one Points carried over from previous increment application:
increment point. One QUARTER Points carried over from UNITS of this application:
unit equals 2/3 increment point) Points carried over from HOURS of this application:
Total points approved:
If points are > 12, the next increment is granted.
Increment(s) granted:
Points to be carried over to next application:
This request has been evaluated by:
Name: _____________________________________________ Date: _______________
Name: _____________________________________________ Date: _______________
To Be Completed by Employee - Record UNITS on this side only. (1 Credit Unit = 1 Point)
Please record UNITS
on the front page and HOURS on the back page.
Verification
(transcript, certificate, letter, card)
