1/24/2020
REQUEST FOR PROFESSIONAL GROWTH CREDIT
Employee: ________________________________________________ Date: ____________________
Job Title: __________________________________________________
Title of Course to be taken: ____________________________________________________
Dates of Course: ________________________________
Course to be taken at: ___________________________________________________________
Unit Value: __________ Semester/Quarter Units (Circle One)
How does this course relate to your job assignment?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Employee Signature: _________________________________________ Date:
Supervisor Signature: Date:
Article 17.11.1.3 Units shall be approved in advance by the Superintendent/President
Note: It is the employee’s responsibility to secure their direct supervisor’s signature and file the
required verification/transcripts with the office of Human Resources in accordance with
Section 17.11.1.10 of the agreement between CSEA and the West Kern Community College
District.
Superintendent/President Use Only
Approved: Not Approved:
Superintendent: __________________________________________ Date: ______________________
Copy of action returned to employee: ______________ (Date)
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