RECOMMENDATION FOR PERSONNEL ACTION Elizabeth City State University
Name: Effective Date:
Division: Department:
Date Submitted: Position Recommended:
Action Recommended
Action Probationary Period Term of Appointment
New Hire
Promotion
Reassignment
Reinstatement
Transfer
Grade-Band Transfer
Demotion
Separation
3 months
6 months
9 months
Permanent Full Time
Permanent Part Time
Salary Recommendation
Current Salary* Recommended Salary % Change
$ $
*Current salary should be completed only for current employees.
Justification
(Justify the Recommended Salary)
Budget/Approvals
Budget
Approvals
Position #: ______________________________________________
Budget Code: ___________________________________________
G/L Account: ____________________________________________
Approved Salary: _______________________________________
Funding Source: Federal State Auxiliary
Other _______________________________________
Authorized By: __________________________________________
(Division of Business and Finance)
Date: ___________________________________________________
________________________________________ ______________
Sponsored Programs (Where Applicable) Date
___________________________________________ ___________________
Hiring Manager Date
______________________________________ _________________
EEO Officer Date
______________________________________ _________________
Dean/Department/Unit Head Date
______________________________________ _________________
Vice Chancellor Date
______________________________________ _________________
Vice Chancellor, HR Date
For HR Use Only
Application Package Returned References Appointment Letter
Application on File I-9 on File I-9 Acceptable Documents
Letter of Acceptance (SPA) W-4 on File PD-105
Contract (EPA & Faculty) Retirement Form Transcripts