8/07
FOR HUMAN RESOURCES USE ONLY
Effective Date New Class Step New Salary
Old Class Step Old Salary
Initials
11/09
San Diego Community College District
3375 Camino del Rio South
San Diego, CA 92108-3883
Recommendations and Signatures:
Name of Applicant:
_______________________________________________
Campus Site:_______________________________________________________
Department Chair:
Signature: _______________________________________________ Date ___________________
__________Recommend __________ Conditional Recommendation* __________ Not Recommended*
___________________________________________________________________________________________
___________________________________________________________________________________________
Dean/Manager:
Signature: ________________________________________________ Date:____________________________
_________ Recommend __________ Conditional Recommendation* __________ Not Recommended*
________________________________________________________________________________________
__________________________________________________________________________________________
College Professional Development Chair:
Signature: __________________________________________________ Date: __________________________
__________ Recommend __________ Conditional Recommendation* __________ Not Recommended*
__________________________________________________________________________________________
__________________________________________________________________________________________
Vice President:
Signature: ___________________________________________________ Date: _________________________
__________ Recommend __________ Conditional Recommendation* __________ Not Recommended*
__________________________________________________________________________________________
__________________________________________________________________________________________
President:
Signature: ___________________________________________________ Date:_________________________
__________Recommend __________ Conditional Recommendation* __________ Not Recommended*
_________________________________________________________________________________________
_________________________________________________________________________________________
*Must include written statement to specify/document conditions or reasons for a conditional
recommendation or not recommended.
PART 3 APPROVAL: