Fillable Professional Growth Form (CSEA Employees) (Chaffey College)

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Professional Growth Form (CSEA Employees) (Chaffey College)

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The Professional Growth Form (CSEA Employees) (Chaffey College) form is 1 page long and contains:

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  • 27 check-boxes
  • 36 other fields

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File type: PDF

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PROFESSIONAL GROWTH INITIATIVE
ACTIVITY PLAN
In accordance with Article 16 of the District/CSEA agreement and the District procedures, this form must be completed
prior to engaging in an activity that will lead to the Professional Growth Initiative allowance. In completing this form, the
employee shall follow the Professional Growth Guidelines.
ACTIVITY DESCRIPTION
Employee Number
Professional Organization or Institution
SIGNATURES/APPROVALS (MUST BE OBTAINED PRIOR TO THE START OF ACTIVITY)
Employee Signature
Supervisor Signature
Reason for Denial
Date
Associate Superintendent/Vice President Signature
Approve
Deny
Reason for Denial
Date
VERIFICATION OF COMPLETION
I certify that the number of units identified in the check box below have been successfully completed as indicated on the
attached documentation (letter, certificate, transcript).
Employee
Date
Filed in the employee's personnel file by
Date
Employee Name
Sem. Qtr. Activ.
Unit Unit Hrs.
Explanation/Justification
Student Educational Plan Attached
OR
No.
Approve
Deny
(choose one)
Alternative Work Schedule Attached (if applicable)
Title of Course, Workshop or Activity
(If applicable)
(If applicable)
15 units completed
30 units completed
45 units completed
60 units completed
Date
Employee
Employee
Date
Date
Employee
(attach appropriate documentation)
Approved
Approved with exception
Denied
(exception noted below)
Supervisor Use Only (initial one)
Supervisor Use Only
(initial one)
2/1/2011
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Professional Growth Form (CSEA Employees) (Chaffey College)

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Completed 3 September 2020

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