Fillable Oapl Sabbatical Dip Request For Additionaloutsideemploymentv2 (California State University, Chico)

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Oapl Sabbatical Dip Request For Additionaloutsideemploymentv2 (California State University, Chico)

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Page 1 of 2
OAPL-Sabbatical-DIP-Request-for-AdditionalOutsideEmployment.pdf | Rev. 03/01/2018
Kendall Hall Room 104
400 W. 1st Street
Chico, CA 95929-0024
530-898-5029
FAX: 530-898-4438
Office of Academic Personnel
CALIFORNIA STATE
UNIVERSITY CHICO
Sabbatical or Difference-in-Pay
Leave: Request for Additional or
Outside Employment
Name Date
College:
Dept/School
Status:
(check one only)
Faculty
Counselor
Librarian
(check one only)
Probationary*
Tenured
Temporary
Type of Leave Awarded :
Sabbatical
One Semester (full pay)
Academic Year (half pay)*
Difference-in-Pay*
One Semester
Academic Year
Dates of Leave :
Fall 20 Spring Academic Year
Other:
From
To
Please describe the Additional or Outside Employment you are seeking approval for. Be sure to include a description of the
work you will be compensated for, where the work will be performed and the approximate duration of the work (ex: 10 hrs/
week for 6 months).
Signature of Requester Date
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Page 2 of 2
OAPL-Sabbatical-DIP-Request-for-AdditionalOutsideEmployment.pdf | Rev. 03/01/2018
RECOMMENDATION OF DEPARTMENT CHAIR / DIRECTOR:
Having reviewed the applicant's Request for Additional or Outside Employment during their sabbatical or
DIP leave of absence, I recommend approval.
Yes
No
Department Chair / Director
Date
DECISION OF PROVOST / *PRESIDENT (*for counselors only)
Approved
Not Approved
Provost or
President
(for counselors only)
Date
RECOMMENDATION OF DEAN / *VICE PRESIDENT FOR STUDENT AFFAIRS
(*for counselors only)
I have reviewed the applicant's Request for Additional or Outside Employment during their sabbatical or
DIP leave of absence, along with the recommendation of the Department Chair/Director and the College/
Unit Leaves Committee. My recommendation is as follows:
Recommened
Not Recommended
Dean or
Vice President for Student Affairs*
Date
Approval:
(*for counselors only)
Reference: Unit 3 Collective Bargaining Agreement; California State University; CSU, Chico Faculty
Personnel Policies and Procedures;
ORIG: College PAF or Personal File | Copy 1: Applicant | Copy 2: Provost/Designee
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Oapl Sabbatical Dip Request For Additionaloutsideemploymentv2 (California State University, Chico)

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Completed 24 July 2020

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