San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
REVISION TO SABBATICAL LEAVE APPLICATION FORM
Date:
Name:
ID #:
College/Center Assignment:
Date of Original Application:
Date of any other Revisions:
Please attach a copy of the original application and any revision that includes the signature
of the PDC Chair to show it was approved.
Purpose of Leave:
Academic Coursework
Teaching, Learning and Appropriate Instructional and Student Services Activity
Research
Retraining
Describe in detail the revisions made from your original Sabbatical Abstract and Plan.
Describe the rationale for the changes to your Sabbatical Leave Application.
1
8/07
Print Form
8/07
2
San Diego Community College District
3375 Camino del Rio South
San Diego CA 92108-3883
(Page 2 of Revision to Sabbatical Leave Application Form)
Recommendations and Signatures:
Department Chair Recommendation:
Recommend Conditional Recommendation* Not Recommended*
Dean/Manager Recommendation:
Recommend Conditional Recommendation* Not Recommended*
College Professional Development Committee Chair
Recommend Conditional Recommendation* Not Recommended*
Vice President Recommendation:
Recommend Conditional Recommendation* Not Recommended*
President Recommendation:
Signature Date
Recommend Conditional Recommendation* Not Recommended*
*Must include written statement to specify/document conditions or reasons.
Approved by Board of Trustees on
Date
Sabbatical Leave Recorded by Human Resources Date
Signature Date
Signature Date Ranking
Signature Date
Name of Applicant ID# Campus Site Phone
Signature Date
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