F 5.5 (b)

Marin Community College District

ASSIGNED HOURS AND SUBSTITUTE ARRANGEMENTS FORM

FOR CONFERENCE OR HONORARY LEAVE

(MCCD/UPM Contract Article 5.5.3.6)

Office: KTD _________ IVC _________ Office Phone: KTD __________ IVC __________

8:10 to 9:10 to 10:10 to 11:10 to 12:10 to 1:10 to 2:10 to 3:10 to 4:10 to 7:00 to

9:00 10:00 11:00 12:00 1:00 2:00 3:00 4:00 5:00 10:00

Mon.

Tues.

Wed.

Thurs.

Fri.

1. Fill out schedule, including office hours.

2. List the period of leave.

From: __________________ a.m./p.m. To: _________________ a.m./p.m.

Day/Time Day/Time

3. List the arrangements for covering your obligations during the above period of leave: (e.g., substitute, trade with named faculty member, etc.).

DATE ARRANGEMENT

______________________________

______________________________

______________________________

CEU Waiver

TO: Faculty

FROM: Professional Affairs Committee

Subject: CEU hours or units (Section 5.5.3.5 of Contract)

I ______________________________________ will not use units or CEU hours offered at

_____________________________________ conference on ____________________________

to advance myself on the College of Marin salary schedule. This form will be kept on file in

Human Resources.

Signature_______________________________________ Date__________________________