ࡱ> _a^'` 0@bjbjLULU 4.?.?2 ZZZZZZZn 8  n(k6 6 6 6 6    jjjjjjj$lh|njZ5   5 5 jZZ6 6 j5 ^Z6 Z6 j5 jZZ6 * s=֭ jjj0(k,o p,o,oZ[ hy J < 6   jjm^   (k5 5 5 5 nnnd nnn nnnZZZZZZ  The California Maritime Academy Sabbatical Leave Certification __________ I will furnish the Academy President a bond, pursuant to Title 5 of the California Administrative Code, Section 43005, to indemnify the State of California against loss in the event I do not return to render one term of service in the Ƶ University for each term of leave. OR __________ I request that the Academy President waive said bond. I agree to return to the service of The Ƶ University and render at least one term of service for each term of leave following my return from the leave of absence granted me. In support of this request, and pursuant to Title 5 of the California Administrative Code, Section 43005, I submit the following list of assets (the value of which is in excess of that salary to be paid to me during leave) as evidence of my capacity to indemnify the State of California against loss in the event of failure. DESCRIPTION OF ATTACHABLE ASSETS (Do not include the current balance in retirement fund per Government Code Section 21201) I recognize that this leave, if granted, will be pursuant to Sections 43000 through 43008 of Title 5 of the California Administrative Code, the Chancellors Executive Order No. 37, and the policies and procedures specified in FS 67-19, and the current Memorandum of Understanding, together with any amendments subsequently issued thereto. I further recognize that no agreement beyond this leave is implied or stated. I agree to abide by the terms of the Title 5 sections stipulated, and the current Memorandum of Understanding, and the policies and procedures referred to therein should this application be approved. Signature of Applicant Subscribed to and Sworn to before me this ______ day of ___________________, 20____. ________________________________ Address _________________________ _______________________________________ Signature of Notary Public ________________________________ Date __________________________     !"@ACbj +-SU.1235689;<?@ºhURejhUReU h@7Hh<h@7Hhx>*hiDhV h@7Hhxh2Khx5CJaJh2Kh. 5CJaJhxCJaJ#"ABCDn o s t 9 : ; < = > ? $`^``a$gdx `^``gdx$0^`0a$gdx 0^`0gdx2?? EF/124578:;=>?@  ^` gdiDgdx21h:px/ =!"#$% @@@ xNormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No ListHH f+, Balloon TextCJOJQJ^JaJ4@4 . Header  !4 @4 . 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