UC Santa Barbara                                Attachment 5805 A
  Policies                                              
  Issuing Unit:  Administrative Services          Date: March 1, 1986
  
  
  
                      PERSONNEL DEPARTMENT
              TRAINING & ORGANIZATIONAL DEVELOPMENT
                                
                   REQUEST FOR COURSE APPROVAL
                               FOR
                          UCSB COURSES
  
  Check appropriate box: [  ] Reduced Fee Enrollment*  [  ] Fee
  Reimbursement
  
  REQUEST  (To be completed by Employee)
  
 _____________________________________________________________________________ 
                           Name (Print or type)
  
  Payroll Classification:_____________________ University Phone:______________
  
  Department in which employed:_______________________________________________
  
  Course (Name & Number):_____________________  Fee:__________________________
  
  Total Units:_________ Beginning Date:___________ Ending Date:_______________
  
  Degree Program:  [ ] Graduate   [ ] Undergraduate   [ ] Special Skills Course
  
  Circle days and list scheduled hours    M    T    W    Th   F    S
                                        ______________________________ 
  
  *This information will be transmitted to the Office of Financial Aid as
  UC monies received.
  
  Date:_____________________ Signature:_______________________________________
  
  Perm #:______________ Alpha #:________________ Soc. Sec. #__________________
  
  *    *    *    *    *    *    *    *    *    *    *    *    *    *    *    *
  
  APPROVALS  (To be completed by EMPLOYEE'S DEPARTMENT CHARIMAN/DEPT.
  HEAD/SUPERVISOR)
  
 _____________________________________________________________________________ 
                      Name (Print or type)
                                
  Title______________________________ Department______________________________
  
  I approve the course requested by___________________________________________
  
  Check appropriate boxes:
  
       [  ]  Job-Related       [  ]  Not Job-Related    
       [  ]  Part of employee's Development Plan
  
  [  ]  Alternate work schedule has been arranged.
  [  ]  Payment for hours of absence required by the course has been
        authorized.
  [  ]  Adjustment with reduced pay has been arranged.
  [  ]  Will authorize total fee reimbursement from my department's
        Supplies & Expense Account if couse is completed satisfactorily.
  
  Date:_______________________ Signature:____________________________________
  
  APPROVAL OF PERSONNEL OFFICE:
  
       Signature_________________________  Title_____________________________
                                        Date_________________________________

For questions or comments regarding the format of the above information, please contact webcontact@ucsbuxa.ucsb.edu.

Last Modified By: HMW, 5/21/97

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