Position Request and Description Form - Human Resources...(A detailed Position Description and...

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(A detailed Position Description and Organization Chart must be attached to this form for approval and processing.) University of Louisiana at Lafayette Office of Human Resources Position 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 RESOURCES CLASSIFICATION: 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 OFFICE Total FTE Requested: FOAPAL : ACTION REQUESTED BY Name: Signature: Email: Phone Extension: REVIEW Signature/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 FORM SAVE & PRINT PCLS: Min Mid Max ALTERNATE/ADD'L FUNDING SOURCE: Department Name Account No. COMMENTS/JUSTIFICATION: (maximum of 1398 characters, If more room is needed, please attach further justification)

Transcript of Position Request and Description Form - Human Resources...(A detailed Position Description and...

Page 1: Position Request and Description Form - Human Resources...(A detailed Position Description and Organization Chart must be attached to this form for approval and processing. University

(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)

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Page 2: Position Request and Description Form - Human Resources...(A detailed Position Description and Organization Chart must be attached to this form for approval and processing. University

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: