ࡱ> QSPa jbjb,, +*NN,4_`bD,RhE  s:/0_yy  APPENDIX H4 INDIVIDUAL PROPOSAL FOR FACULTY FLEX DAY (Article 27  Calendar) Foothill-De Anza Community College District Name: FORMTEXT       FORMTEXT      Telephone: FORMTEXT       Last First Full-time  FORMCHECKBOX Part-time  FORMCHECKBOX Date(s) of Activity: FORMTEXT       Hours of activity to be credited: On-Campus FORMTEXT      Off-Campus: FORMTEXT       Please note: 1. File this form with the Division Dean or appropriate supervisor 5 working days prior to the designated flex/conference day. 2. Attach list of fellow participants if the flex-day will be used for a collective activity of faculty in the department/division/college/District. 3. Make and retain a copy of this form for your professional records. I. Focus of the activity/project:  FORMCHECKBOX  Division/Department  FORMCHECKBOX  Subject matter/discipline  FORMCHECKBOX  College  FORMCHECKBOX  Professional enhancement II. Abstract: a) Describe briefly what you will do:  FORMTEXT       b) Specify the results of your activity/project:  FORMTEXT       c) Identify at least two ways this activity/project benefits students/division/program:  FORMTEXT       III. Approval: Faculty signature: Date: Division/Program Administrator signature: Date: -------------------------------------------------------------------------------------------------------------------- IV. 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