EXTENDED HOURS COMPENSATION APPLICATION
ALPINE
Social Security Number ________________________ Area of Instruction ____________________________
Is Your Regular Contract? Full Time ________ Less than Full Time _______
AREAS
AND HOURS FOR WHICH YOU ARE APPLYING: #
Hours
EQUIPMENT MAINTENANCE AND REPAIR _______
CAREER AND TECHNICAL STUDENT ORGANIZATIONS (CTSO's) _______
PROFESSIONAL DEVELOPMENT (Can not be used for the USOE Summer CTE Conference) _______
PRE-APPROVED CURRICULUM DEVELOPMENT _______
TOTAL _______
Justification for the request:
__________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
Instructor ______________________________________
Signature
Total Number of Hours Approved:
_________
CTE Coordinator
______________________________________
Signature
Revised