OHR 220/Research Change of Status
(Office of Research Administration Use
Only)
Revised: 04/27/2015
State
Affiliated Cor
p
oration
Prepared by:
Extension: Date:
Project Director:
Comments
Employee Information
myWSU ID#
Name:
Last First M.I.
Reason Code:
Current Status:
Universit
y
Su
pp
ort Staf
f
Unclassified
Exempt
Non-Exempt
Exempt Non-Exempt
Faculty Professional Instruction
Length of
Appointment
Regular
Temporary
Temporary
No
9 month
Limited Term Regular
Probationary
Contingent
Less than .5
10 month
Temporary
Tenured
Provisional
.5 or more
12 month
Grade/Step:
Regular
Term (Other)
Hourly/Other Amt.
$
Executive
Annual/Hourly Amt.
$
Org. No. Organization Name GU RU
$
$
Employee’s Supv. and
WSU
ID#:
Fund#
Fund#
Position No. Position Title FTE Stop Date
New Status: Effective Date:
Universit
y
Su
pp
ort Staf
f
Unclassified
Exempt
Non-Exempt
Exempt
Non-Exempt
Faculty Professional Instruction
Length of
Appointment
Regular
Temporary
Temporary
No
9 month
Limited Term Regular
Probationary
Contingent
Less than .5
10 month
Temporary
Tenured
Provisional
.5 or more
12 month
Grade/Step:
Regular
Term (Other)
Hourly/Other Amt.
$
Executive
Annual/Hourly Amt.
$
Org. No. Organization Name GU RU
$ $
Employee’s Supv. and
WSU
ID#:
Fund #
Fund #
Position No. Position Title FTE Stop Date
Required Signatures:
Office of Research – Assoc. Director of Post Award: ___________________________________________________ Date ____________________
Dean/Budget Review Officer: _____________________________________________________________________ Date ____________________
University Budget Office: ______________________________________________________________________ Date: ___________________
BANNER APPROVED FUNDING – UNIV. BUDGET OFFICE ONLY:
FTE: _______ PClass: ______________ EClass: _______________
Position Fund Organization Account Amount % FTE
Banner Forms Completed: POSN _____ PBUD _____ JOBS_____
Budget Office Distribution: Human Resources – Original, Budget Officer – Canary, Budget Review Officer – Blue,
University Budget Office – Pink, President/Vice President – Tan, Payroll - Lilac
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