HR/S:/Personnel/Forms/Variable Flex Activities Report 08-29-17
Instructions: Part 1 (Due Nov 15) - Please state your Variable FLEX plan for this academic year. Turn this form in to the Administrative
Assistant to the Foundation/Senate by the due date. This form must be approved by the PDC Coordinator prior to completing Part 2.
Part 2 (Due May 15): Please report, in brief, on your approved variable flex activities using the same form you submitted in November.
Include the time spent on each activity, and the degree to which the activity met your expectations with regard to the intended
outcome. Submit the completed report to the Administrative Assistant to the Foundation/Senate. The Professional Development
Coordinator will forward the report to Academic Services documenting your fulfillment of your Variable FLEX obligation.
Deadline for Report: Report(s) must be submitted by May 15th or the end of the Academic Year to
the Administrative Assistant to the Foundation/Senate.
Name of Faculty Member:
Division:
Date Submitted:
Time Spent on Flex Activities:
Date(s) of Activities:
CHABOT-LAS POSITAS COMMUNITY COLLEGE DISTRICT
Report on Variable Flex Activities
Faculty Signature: _______________________ Date: _______________
Part 2: Brief Description of Activities Completed (attach additional sheets and/or documentation, as needed):
Part 1: My Variable FLEX Plan for this Academic Year (attach additional sheets as needed). Please be specific.
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