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Cerritos College
RECLASSIFICATION REQUEST FORM
Last Name: First: Ext:
Department: Email:
JUSTIFICATION OR REASON FOR REQUEST:
Change (evolution) of job duties Consolidation of work units/services
Restructure of department or other organizational impact New programs/services
Legislative mandates/compliance requirements which impact position Lead responsibilities
Other _________________________________________________________________________________________
Current Job Title: Salary Range/Step:
Requested Job Title:
In your opinion, is there an existing classification that adequately describes (an 80% match) your current duties and
responsibilities?_____________________________________________________________________________________
Are you currently in an out-of-class assignment?
Days Worked: (Circle all that apply) M T W TH F S SU Hours of Work: Start: End:
Are you full-time or part-time: Circle the number of months worked: 10 11 12
Immediate Supervisor’s Name: Ext:
Immediate Supervisor’s Title:
REQUIRED ATTACHMENTS
(If the required attachments are not submitted, your reclassification application will be considered incomplete.)
1. Reclassification Request Form
2. Job Description: Current Position Requested Position (if available)
NOTE: Job descriptions are available from the Office of Human Resources and online:
http://cms.cerritos.edu/hr/job-classification-titles-and-grades.htm.
Please do not submit work samples or letters of recommendation with this application. These materials
cannot be accepted for processing with your Reclassification Request and will be returned. (If desired, you
may share work samples with the Joint Committee at time of interview.)
DEADLINE TO APPLY
COMPLETED FORMS MUST BE RECEIVED BY THE DISTRICT OFFICE OF HUMAN RESOURCES NO
LATER THAN 5:00 PM, on Monday, December 15, 2014.
SEND COMPLETED FORM TO: DISTRICT OFFICE OF HUMAN RESOURCES – ATTN: REBECCA PANG EXT.
2281)
Employee Signature: ____________________________________________________ Date: ____________
