ࡱ> UWT EbjbjR|R| :L00 ^LL843$jt"X1h^#`#`#`#`#`#`#$%O(#ie{^ee##e6^#e^#!g!q$IU^!J#$03$!((!!L(!Teeeeeee##eee3$eeee(eeeeeeeeeL l: GAVILAN COLLEGE Request for Track Advancement Name: FORMTEXT      Date: FORMTEXT      Teaching Assignment: FORMTEXT       Procedure for Submitting Forms Download the form from the Faculty Professional Learning Committee web site, complete needed information. Save a copy for your records. E-mail the form and a course description as an attachment to  HYPERLINK "mailto:fplc@gavilan.edu" fplc@gavilan.edu by the required deadline. It is highly advisable that applicants be present at the Faculty Professional Learning Committee when their request is being considered. Failure to do so may delay approval(s).  TRADITIONAL UNITS  FORMCHECKBOX  Graduate or Upper Division Coursework  FORMCHECKBOX  CEU / Contact Hours / Extension units designed for professonal training  FORMCHECKBOX  Lower Division Transferable or Vocational Courses related to discipline (Vocational Instructors only) NON-TRADITIONAL UNITS  FORMCHECKBOX  Lower Division Coursework related to assignment  FORMCHECKBOX  Special Course/Workshop/Conference/Seminar  FORMCHECKBOX  With Formal Evaluation (16 hours = 1 unit)  FORMCHECKBOX  Without Formal Evaluation (24 hours = 1 unit)  FORMCHECKBOX  Lower Division Transferable Associate Degree Courses (Vocational Instructors only)  FORMCHECKBOX  Individual Project (attach  Request for Individual Project form)  TRADITIONAL & NON-TRADITIONAL Course Number and Title:  FORMTEXT       Institution / Organization / College / University:  FORMTEXT       Date of Completion:  FORMTEXT       Note: All coursework must be converted to semester units using the following calculations:  FORMTEXT       Semester units  FORMTEXT       Quarter units x 0.67 quarter unit/semester unit =  FORMTEXT       semester units  FORMTEXT       CEU s x 10 Contact hours/CEU =  FORMTEXT       Contact hours (must be converted to semester units)  FORMTEXT       Contact hours 16 hours/semester unit (with formal evaluation) =  FORMTEX "Z\^jlŮ}fT:f 3jh4h^CJOJQJUhmHnHsH u2jh4h^CJOJQJUhmH sH #h4h^CJOJQJhmH sH ,jh4h^CJOJQJUhmH sH h4h^OJQJhmH sH h."CJOJQJhmH sH #hDh^b1CJOJQJhmH sH -hzlhzl5:CJOJQJaJhmH sH -hzlh^b15:CJOJQJaJhmH sH hDCJ,OJQJhmH sH 'hzlh^b1CJ OJQJaJ hmH sH  \^jKkd$$Ifl\f<': t644 lap(yt4 )<<$Ifgd4 ) )gd ;     鵛oUoC#hzlhzlCJOJQJhmH sH 2jh4h^CJOJQJUhmH sH #h4h2CJOJQJhmH sH 3jh4h^CJOJQJUhmHnHsH u2jth4h^CJOJQJUhmH sH #h4h^CJOJQJhmH sH h4h^OJQJhmH sH #h4h^CJOJQJhmH sH ,jh4h^CJOJQJUhmH sH    \  7 | p____ & Fxx$Ifgd^$$If[$\$a$gd^ )akd$$Ifl0$ <'  t644 lapyt4 )<<$Ifgd4  9 G J s t u w z { | } ~  ܱܱܕzfWIhcVh."CJOJQJhh."CJOJQJhmH sH &jhCJOJQJUmHnHuh?CJOJQJhmH sH hgmhgmCJaJh*PhC(OJQJ^Jh;hzl0JOJQJ^JjhzlOJQJU^Jh*Phgm5>*OJQJ^Jh*PhOJQJ^JhzlOJQJ^Jh*PhA"OJQJ^Jh*PhgmOJQJ^J| } ~ ' ttgXQ 6" 86"(gdD 86"gdD 86"<gdD  (gdD 3(hkdj$$IfT'0634aT ( ) 7 8 9 : ϸݭψݭ}}fݭXIh."CJOJQJhmH sH h\h."CJOJQJh,jhCJOJQJUhmH sH hC(CJOJQJh,jhhCJOJQJUhmH sH h(??h."CJOJQJhh^CJOJQJh,jhCJOJQJUhmH sH h(??h CJOJQJh&jhCJOJQJUhmH sH hcVh."CJOJQJh    ; < = K L M N y z { Ҿi^G^^,j8hCJOJQJUhmH sH hDCJOJQJh,jhCJOJQJUhmH sH h(??h."CJOJQJhh^CJOJQJh,jPhCJOJQJUhmH sH h(??h CJOJQJh&jhCJOJQJUhmH sH h."CJOJQJhmH sH h."CJOJQJhmH sH hDCJOJQJhmH sH  ; y B.0 rt 0z% gdDgd ;   ! 8 !gdD T !<gdD 8 !<gdD  !(gdD @BDFbdfh~ʼծʼq^qSH:h(??h(??CJOJQJhhPCJOJQJhhH#CJOJQJh$jhCJOJQJUhjhCJOJQJUhh(??CJOJQJhh."CJOJQJh,j hCJOJQJUhmH sH h(??h CJOJQJhh(??h."CJOJQJhhDCJOJQJh&jhCJOJQJUhmH sH ,jhCJOJQJUhmH sH .0dfz|~ οίlPEEhC(CJOJQJh6jhcVh.">*CJOJQJUhmHnHsH u5jhcVh>*CJOJQJUhmH sH hcVh.">*CJOJQJh/jhcVh>*CJOJQJUhmH sH h ;h."CJOJQJaJhhDCJOJQJhmH sH h."CJOJQJhmH sH &jhCJOJQJUmHnHuh(??h."CJOJQJh  JL`bdnprt,.̢̰̂g̢̰WH9Wh)}CJOJQJhmH sH hDCJOJQJhmH sH h ;h)}CJOJQJaJh5jhcVh>*CJOJQJUhmH sH hcVh.">*CJOJQJhh ;h."CJOJQJaJhh(??h."CJOJQJh6jhcVh.">*CJOJQJUhmHnHsH u/jhcVh>*CJOJQJUhmH sH 5j|hcVh>*CJOJQJUhmH sH t,.tvHJ@B4868.909::::?;DDDDDpDrD 8vY gd v<^vgdDxgd ;gd ; .0DFHRTXtvx׼畇wfZFf5f jh ;h%SOJQJUh&jh ;hOJQJUhh ;h%SOJQJh jh ;hOJQJUhh ;h)}CJOJQJaJhh%ShC(CJOJQJhhzlCJOJQJh6jh%Sh%S>*CJOJQJUhmHnHsH u5jdh%Sh>*CJOJQJUhmH sH h%Sh%S>*CJOJQJh/jh%Sh>*CJOJQJUhmH sH &(HJL`bdpXH-X5j h h>*CJOJQJUhmH sH h h%S>*CJOJQJh/jh h>*CJOJQJUhmH sH h ;h)}CJOJQJaJh2jh%Sh%S>*䴳ϴԱ-P h%Sh>*CJOJQJUhh%Sh%S>*CJOJQJh'jh%Sh>*CJOJQJUhh%ShC(CJOJQJhh%ShCJOJQJhh%ShCTCJOJQJhdnp>@̾x^P@0@0@h ;hXSCJOJQJaJhh ;h)}CJOJQJaJhh%Sh)}CJOJQJh2jh h >*䴳ϴԱ-< h h>*CJOJQJUhh h >*CJOJQJh'jh h>*CJOJQJUhh CJOJQJhh%ShC(CJOJQJh/jh h>*CJOJQJUhmH sH 6jh h%S>*CJOJQJUhmHnHsH u@BDXZ\fh8888Ǭאׂr\JHJ/\1j( h h>*CJOJQJU^JhU"h h >*CJOJQJ^Jh+jh h>*CJOJQJU^Jhh h)}CJOJQJ^Jhh h)}CJOJQJh6jh h >*CJOJQJUhmHnHsH u5j h h>*CJOJQJUhmH sH h h >*CJOJQJh/jh h>*CJOJQJUhmH sH h ;h)}CJOJQJaJhT       semester units  FORMTEXT       Contact hours 24 hours/semester unit (without formal evaluation) =  FORMTEXT       semester units I understand that an official transcript or certificate of completion must be submitted to the Vice President of Instruction Office before credit will be awarded. Please check the appropriate box for the type of verification that you will be submitting:  FORMCHECKBOX  Official transcript  FORMCHECKBOX  Certificate of Completion Briefly state how this course will benefit you, your students, and/or the college.  FORMTEXT 8888486888L8N8P8Z8\88μpS5:jh h >*CJOJQJU^JhmHnHsH u9j h h>*CJOJQJU^JhmH sH "h h >*CJOJQJ^Jh3jh h>*CJOJQJU^JhmH sH h ;h)}CJOJQJaJhh h)}CJOJQJ^Jh"h h)}>*CJOJQJ^Jh+jh h>*CJOJQJU^Jh6jh h >*CJOJQJU^JhmHnHu 88899 999,9.909:::׾鐀scR;)#hDhf.5CJOJQJ^JaJ,jhDh5CJOJQJU^JaJ hDhf.CJOJQJ^JaJh ;htiCJOJQJaJhh)}CJOJQJ^Jhh h)}CJOJQJ^Jh"hB)h)}>*CJOJQJ^Jh6jhB)hB)>*CJOJQJU^JhmHnHu1j hB)h>*CJOJQJU^Jh"hB)hB)>*CJOJQJ^Jh+jhB)h>*CJOJQJU^Jh :::::::::::::?;@;J;ϽϽϽseN<#hzlh."CJOJQJhmH sH ,jhzlhCJOJQJUhmH sH hcVh."CJOJQJhhtiCJOJQJ^Jh#hDhf.>*CJOJQJ^JaJ2j hDh5CJOJQJU^JaJ hDhf.CJOJQJ^JaJ#hDhf.5CJOJQJ^JaJ,jhDh5CJOJQJU^JaJ2j hDh5CJOJQJU^JaJJ;K;<D D DDDDDDDD.Dͳϡ}hTE6(h(??h."CJOJQJhhXSCJOJQJhmH sH h."CJOJQJhmH sH &hh."5CJOJQJhmH sH )jh5CJOJQJUmHnHu#hzlhzlCJOJQJhmH sH #hzlhXSCJOJQJhmH sH #hzlh."CJOJQJhmH sH 3jhzlh."CJOJQJUhmHnHsH uU,jhzlhCJOJQJUhmH sH 2jr hzlhCJOJQJUhmH sH         Documentation received and credit awarded: Vice President of Instruction: _______________________________ Date: _________________     PAGE  PAGE 1 Track Advancement Form Academic Senate FPLC Rev. 4-19-16 .D2DlDnDpDrDDDDDDDD(E.E4E6E:EE@EDEFEJELE^E`EbExEEEEEE$a$gdC($&`#$a$gdcV &`#$gd; h # 8h #rEtEvExEEEEEEEEEEշըh."CJOJQJhmH sH hh hV5hN6hY1CJOJQJ^JhN6hqVCJOJQJ^JhN6hzlCJOJQJ^JhN6hSCJOJQJ^J hXS0Jjh0JUhN60JmHnHu 8 001:p ;/ =!"#$% tDText1tDText2$$If!vh#v:#v#v#v:V l t6,5:555p(yt4tDText3o$$If!vh#v #v:V l t6,5 5pyt4$$If!vh#v>':V 06,534TtDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck6tDeCheck7tDeCheck8tDeCheck9tDText4tDText5tDText6vDText11vDText12vDText13vDText14vDText15vDText16vDText17vDText18vDText19tDCheck3tDCheck3vDText10^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 Normal_HmH sH tH N@BN gm Heading 4dd@&[$\$5CJ\aJDA`D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List 44 Header !4 @4 Footer !6U`6 gm Hyperlink >*B*phH@"H C( Balloon TextCJOJQJ^JaJ.)@1. 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