Fillable Spring Furlough Certification - Final

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Spring Furlough Certification - Final

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Faculty Affairs Office
California State University Channel Islands
2009-2010 Faculty Furlough Program
CERTIFICATION BY FACULTY MEMBER
In accordance with Paragraph 5.b. of the Furlough Agreement dated July 28, 2009, between The
California State University and the California Faculty Association, I certify that:
i. I will not work on mutually agreed or assigned furlough days; and
ii. I will not work beyond the duties assigned for any week in which I have one or more
furlough days.
Print Name
Signature Date
Print this form and circle your desired furlough days in the schedule below.
• AY Faculty: Circle 9 Academic Work Days. Saturday class days may be chosen only by faculty who teach them;
the two Saturdays in May that are academic work days may be chosen by any faculty. Choose no more than 1 day
in a week and no more than 2 days in a month.
• 12-Month Faculty: Circle 11 days (12 days including the State Budget Closure Day on 1/4); not restricted to
academic work days.
Mon Tue Wed Thu Fri Sat Mon Tue Wed Thu Fri Sat
1/1 1/2 4/1 4/2 4/3
1/4 1/5 1/6 1/7 1/8 1/9 4/5 4/6 4/7 4/8 4/9 4/10
1/11 1/12 1/13 1/14 1/15 1/16 4/12 4/13 4/14 4/15 4/16 4/17
1/18 1/19 1/20 1/21 1/22 1/23 4/19 4/20 4/21 4/22 4/23 4/24
1/25 1/26 1/27 1/28 1/29 1/30 4/26 4/27 4/28 4/29 4/30
5/1
2/1 2/2 2/3 2/4 2/5 2/6 5/3 5/4 5/5 5/6 5/7 5/8
2/8 2/9 2/10 2/11 2/12 2/13 5/10 5/11 5/12 5/13 5/14 5/15
2/15 2/16 2/17 2/18 2/19 2/20 5/17 5/18 5/19 5/20 5/21 5/22
2/22 2/23 2/24 2/25 2/26 2/27 5/24 5/25 5/26 5/27 5/28 5/29
5/31
3/1 3/2 3/3 3/4 3/5 3/6 6/1 6/2 6/3 6/4 6/5
3/8 3/9 3/10 3/11 3/12 3/13 6/7 6/8 6/9 6/10 6/11 6/12
3/15 3/16 3/17 3/18 3/19 3/20 6/14 6/15 6/16 6/17 6/18 6/19
3/22 3/23 3/24 3/25 3/26 3/27 6/21 6/22 6/23 6/24 6/25 6/26
3/29 3/30 3/31 6/28 6/29 6/30
Holidays-may not be used for furlough
Academic Work Days-only these days may be chosen as furlough
1/16
Saturday Classes-may serve as furlough days ONLY for faculty who
teach Saturday classes
1/4 State Budget Closure Day (12M)
Total Days (Spring):
(9 days for AY, 11 days for 12 Month)
Approved:
Dean’s Signature Date
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Spring Furlough Certification - Final

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Completed 24 January 2020

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