Part Time/Overload Schedule Request Form (FALL/WINTER/SPRING)
Faculty Use Only

Use this form to report Fall, Winter or Spring Part Time Status or Overload requests.

Schedule Request Form

Faculty / Staff Information -
Today's Date:
Tuesday, October 21, 2014, 4:58 am
* Instructor Name:
* All 'RED' fields must
   be completed.

* Contact eMail:
Home Phone:
Foothill Phone:

Fall Session

Not Available

I am not available for Fall (I am aware not teaching one quarter could reduce my total load for the year) - If you have selected this option please skip down to the next quarter.

List ALL classes you are willing to teach in order of preference, e.g. ART 1A, 4A, 20 etc. in the box below:
List Classes


Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):

My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):
Preference

Winter Session

Not Available

I am not available for Winter (I am aware not teaching one quarter could reduce my total load for the year) - If you have selected this option please skip down to the next quarter.

List ALL classes you are willing to teach in order of preference, e.g. ART 1A, 4A, 20 etc. in the box below:
List Classes


Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):

My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):
Preference

Spring Session

Not Available

I am not available for Spring (I am aware not teaching one quarter could reduce my total load for the year) - If you have selected this option please skip down to the next quarter.

List ALL classes you are willing to teach in order of preference, e.g. ART 1A, 4A, 20 etc. in the box below:
List Classes


Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):

My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):
Preference

Form Validation:


Note: Please complete this Form Validation field before submitting the form.
Close Window when finished.