Application for Extra-Period
Adopted: 4-4-06
Revised: 4-14-21
This application must be completed by the building principal or direct supervisor and submitted to the District by May 1 in order to be approved for the next calendar year. The terms of this decision and/or agreement will be in accordance with the District’s Extra-Period Policy (GCB-A). Approval for teaching an extra period shall be on a year-to-year basis with no expectation of continuation beyond one year. In reviewing the application, the District shall consider available funding and other alternatives to the request.
Principal/Supervisor: _________________________________ Date: ___________
Name of Teacher: ____________________ Class to be offered: ________________
Length of Request: Quarter: ____ Semester: ____ Full Year: ____
Describe why it is essential for this extra period to be taught and attach other documentation as needed:
_______________________________________________________________________
_______________________________________________________________________
Anticipated funding for extra period:
- District Funded: ____________ Amount: $ ___________
- Other Funds (specify): _____________Amount: $ ___________
- Combination of District and Other Funds:
District’s Share: $ _________________ Other Funds: $ ____________
Signature of Principal/Supervisor: ___________________________ Date: __________
Signature of Teacher: _____________________________________ Date: __________
-----------------------------------------------------------------------------------------------------------
(To be completed by District)
______________________________ has been (approved/denied) to teach an extra
period for the _________ school year.
If approved, the total amount to be paid to the teacher for this extra period is $________. This amount will be divided and paid equally through the 12 pay periods unless other arrangements are made.
District Signature: _____________________________ Date: _________________
