Fillable Oapl-applicationsabbatical-or-dip-v5 Application for Sabbatical or Difference in Pay Leave

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Oapl-applicationsabbatical-or-dip-v5 Application for Sabbatical or Difference in Pay Leave

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Page 1 of 2
OAPL-ApplicationSabbatical-or-DIP.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
Application for Sabbatical or
Difference-in-Pay Leave
Name Date
College:
Dept/School
Status:
(check one only)
Faculty
Counselor
Librarian
(check one only)
Probationary*
Tenured
Temporary
*A leave of absence with pay will count toward probation. It is the responsibility of the Dean and Department Chair or Director
to be certain that the retention/tenure evaluation will be sufficient to form the basis for retention/tenure recommendation even
though the individual is absent for all or part of the academic year.
Date of Initial Appt. Date of Last Paid Leave (Semester/Academic Year):
Type of Leave Requested :
Sabbatical
One Semester (full pay)
Academic Year (half pay)*
Difference-in-Pay*
One Semester
Academic Year
*CalPERS service credit will be pro-rated during a Difference-In-Pay Leave
or Academic Year (half-pay) Sabbatical Leave. Click here
for more information
Dates of Proposed Leave :
Fall 20 Spring Academic Year
Other:
From
To
As a part of this application, you are required to attach a summary of your proposed plan of study, research, travel, or service to
be carried out during the leave period and a statement of benefits to the University, its programs, and its students. A copy of the
proposal should be submitted to the Department Chair/Director in order for the Chair/Director to provide a statement regarding
the possible effect on the curriculum and the operation of the department should you be granted a Sabbatical Leave. A
comprehensive leave proposal must be submitted to the college committee before it begins its deliberations.
Leaves with pay are subject to (a) completion of a Promissory Note, to be submitted to the College Dean within 30 days of leave
approval, and (b) compliance with the Collective Bargaining Agreement between the California Faculty Association and the
Trustees of the California State University as well as University policy.
A faculty unit employee on sabbatical leave or DIP shall not accept additional and/or outside employment without prior
approval of the Provost (President's designee). All requests for additional and/or outside employment must be submitted on
the "Sabbatical or DIP Request for Additional or Outside Employment" form located on the Office of Faculty Affairs website.
Applicant Signature Date
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Page 2 of 2
OAPL-ApplicationSabbatical-or-DIP.pdf | Rev. 03/01/2018
RECOMMENDATION OF DEPARTMENT CHAIR / DIRECTOR:
Having reviewed the applicant's proposed leave plans for his/her sabbatical or DIP leave of absence, I
recommend approval.
Yes
No
Department Chair / Director
Date
(Chair/Director: Attach a statement regarding the possible effect on curriculum and the operation of the
department should the leave be granted.)
RECOMMENDATION OF COLLEGE / UNIT LEAVES COMMITTEE:
Having reviewed the applicant's proposed leave plans for his/her sabbatical or DIP leave of absence, we
recommend approval.
Yes
No
College/Unit Leaves Committee Chair
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 proposed leave plans for a sabbatical or DIP leave of absence, along with
the recommendations 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; and Title 5 of the California Administrative Code.
ORIG: College PAF or Personal File | Copy 1: Applicant | Copy 2: Provost/Designee | Copy 3: Payroll attached to ACF
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Completed 27 November 2019

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