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Application for Approval of Coursework/Activities
Toward Advancement on the Salary Schedule
Name: Date:
Dept:
Option 1 Option 2 (See page 2 of the handbook)
I. Check the area(s) of your educational objective(s):
Master’s or Doctoral Degree
A credential other than teaching
Improvement in the teaching field
II. Purpose and Benefits
The applicant must include a statement of purpose addressing the benefits of the proposed
coursework to one or more of the following:
His or her professional development
The enhancement of the applicant’s work at the college
The student
s
T
he applicant’s department.
III. Coursework
The applicant needs to complete the list of coursework on page 2 of this form.
IV. Approval Process
The applicant must obtain his/her Department Chair’s signature and submit the entire
application packet to the SAC Academic Administrative Assistant (mail station #8C with
SAC in the subject line). (See page 3 of handbook for specific details.)
V. Signature
I certify that the information provided on this application is correct (Appendix A two pages). I
will furnish Human Resources (HR) with official transcripts upon completion of the coursework.
Signature: Date:
Department Chair Signature: Date: Yes No
APPROVALS: (If approval is not given, a separate sheet with reason for disapproval must be attached.)
SAC Chair Signature: Date: Yes No
Academic Senate President Signature: Date: Yes No
Superintendent/President Signature: Date: Yes No
Board of Trustees President: Signature: Date: Yes No
(When eligible for advancement only.)
SCHEDULE of DEADLINES
March 15
th
Application for Advancement on the Salary
Schedule due to SAC Administrative
Secretary
May 15
th
If approved, Letter of Intent due to
Superintendent/President
September 5
th
Official transcript(s) due to HR
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Coursework
Courses to be used for salary schedule advancement should be submitted for approval prior to
enrollment in the course but must be submitted within five years of completion from an accredited
institution or two years for courses completed at other than an accredited institution in order to be
considered.
1. List of courses taken to include (attach another sheet if needed):
Institution
Course #
Course Title
Quarter
Units
Semester
Units
Completion
2. Catalog description (Attach a photocopy or print-out)
Human Resources Use Only
Current Units: _________ Requested Units: ___________ Total Units: ___________
Eligible for Advancement?
No, _______ units needed to advance to Class _______
Yes, eligible to advance from Class _______ to Class _______, effective __________________
Comments:
Human Resources: ____________________________________ Date: __________________