REQUEST FOR FACULTY STIPEND OR RE-ASSIGNED TIME
Submit this form to your representative on the Faculty Stipends & Re-assigned Time Committee
at least four weeks prior to the anticipated start date
Project or Activity Title: Mileage for Travel for Instructional Purposes Today’s Date: April 30, 2015
Recommended faculty appointee: Fulltime and Associate Faculty
(Indicate for each faculty theirfull time or part time status)
Begin Date: May 26, 2015
End Date: May 30, 2016
Stipend Amount Requested: $ See below
Re-assigned Time Requested:
(Round up to nearest dollar)
Funding
Source: General Fund
Division/Department(s): Any
(hour, day, week, semester, academic year, TLU)
Funding Type:
Campus. District
Reporting Supervisor Keith Snow-Flamer
Supervisor Signature
(Print or type name)
Please provide the following details. Attach an extra sheet if necessary.
a.
Job Title; purpose and scope of project.
There may be a need for fulltime and associate faculty to be assigned to teach credit or
noncredit classes in a location other than what is considered their assigned primary
campus/center/site. This request provides private vehicle mileage reimbursement, and
oniy mileage reimbursement, for faculty assigned to teach at a campus/site/location in
excess of 50 miles from their assigned primary campus/center/site during an assigned
instructional day in the 2015-16 academic year, including summer 2015. The district
will not provide vehicles or rental vehicles for travel to and from classes. Travel for
meetings and office-hours to/from the travel campus/center/site does not qualify for
mileage reimbursement.
The reimbursement rate shall be at the flat rate transportation allowance listed in AP
7400 and shall at no time exceed the standard mileage rate as determined by the Internal
Revenue Service. The reimbursement will only apply to class meeting days and is
restricted to one round trip per day, from the faculty’s assigned primary campus/center/
site to the travel campus/center/site destination. No mileage shall be paid for additional
travel from the faculty’s residence.
All assignments and travel requests must be approved by the appropriate academic
administrator prior to confirmation of assignment. District travel authorization
paperwork is required prior to the first day of travel, including but not limited to
providing proof of a valid driver’s license and insurance and completion of the
California Vehicle Code and Title 13 (Motor Carrier Safety) course.
This Section For Faculty Stipends & Re~Assig~e~~fe Committee Use Only
CRFO President’s Name / Signature & Approval D~.te:
Administrator Authorizec~ to Ap~,rove Nanie / Signature &
Board of Trustees Coiisei4 Calendarflate:
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Mileage travel advance requests shall be submitted prior to the first day of class and
shall be calculated based on the number of class days assigned within the semester or
term. A post-travel expense report shall be submitted within one week after the end of
the semester. For missed or cancelled instructional days, travel advances shall be
reduced from a faculty’s next or final paycheck for those missed travel days (for
example, if classes are cancelled for a day, no matter the reason, including but not
limited to illness, campus closure, etc.).
Unless otherwise noted in this agreement, the rules applicable for all travel delineated in
AP 7400 shall apply. The faculty class assignment process is outlined in MOU
2013-16-9.
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This Section For Faculty Stipends & Re-Assigned Time committee Use ()nly
CRFO President’s Name I Signature & Appràval Date: ___________________________________________________
Administrator Authori~ed to Approve Nanie / Signature & Approval Date __________________________________
Board of Trustees Consent Calendar Date: __________________________________________________________
Revised 09-07-2012