Position Request and Description Form - Human Resources...(A detailed Position Description and...
Transcript of Position Request and Description Form - Human Resources...(A detailed Position Description and...
(A detailed Position Description and Organization Chart must be attached to this form for approval and processing.)
University of Louisiana at LafayetteOffice of Human ResourcesPosition Request Form
Position Title:
Department Name: Department No.
REQUESTED ACTION to New FTE: Position Reallocation: From Index/Position: to
POSITION TYPE Faculty WAE (SF3) Casual Labor: Salaried ($455 wkly min) Hourly
Mon Tues Wed Thurs Fri Sat Sun
Percent Hiring Range
HUMAN RESOURCESCLASSIFICATION: POSITION #:
EEO LEVEL:
PCLS TITLE:
WORKING TITLE:
FLSA STATUS: Exempt
EEO NUMBER:
PAY PLAN: Health Retirement
SPECIFICATIONS/ Visa Restrictions
REQUIRED CHECKS: Background Check Drug Screen MVR
BUDGET OFFICETotal FTE Requested: FOAPAL:
ACTION REQUESTED BY
Name: Signature:
Email: Phone Extension:
REVIEWSignature/Date Signature/Date
(4) Faculty Affairs(For Academic Affairs Positions Only)
(5) Finance/SPFAC(Restricted/Unrestricted)(Funds Availability Verification)
Revised 2-2016
(1) Director
(3) Human Resources(Classification and Compensation Review)
(2) Department Head
APPROVALS
(6) Budget (PositionNumber Verifcation)
(7) Dean
(8) Vice President
(9) Vice President Finance
(10) Provost
(11) President
)
SOC CODE:Non-Exempt
BENEFITS CIP CODE:
ECLS:9-Month 12-Month
Signature/Date
Enhanced Credit
FTE Change from Current FTE:
New Position
Unclassified Classified
Replacement for: Reclassification (Previous Title:
Title Change (Previous title )
Standard University Hours Alternate Hours
Immunization Record
Desired Effective Date:
CLEAR FORMSAVE & PRINT
PCLS:
Min Mid MaxALTERNATE/ADD'L FUNDING SOURCE: Department Name Account No.
COMMENTS/JUSTIFICATION: (maximum of 1398 characters, If more room is needed, please attach further justification)
University of Louisiana at LafayetteOffice of Human Resources
Position Description FormPosition Title:
Position No.:
Department Name Department No. Effective Date:
Reports to: IncumbentCLASSIFICATION:(HR USE ONLY)
PCLS Code:
EEO Level:
PCLS TITLE:
WORKING TITLE:
FLSA STATUS: Exempt Non-Exempt Pay Grade:
PAY PLAN: 9 Month 12 Month
POSITION SUMMARY
POSITION DUTIES
KNOWLEDGE, SKILLS, ABILITIES, COMPETENCIES, &PERSONAL CHARACTERISTICS
MINIMUM QUALIFICATIONS
PHYSICAL AND ENVIRONMENTAL DEMANDS
Revised 2-2016
ECLS: