Staffing Request Form
Please fill out one form for each classified professional position that you are requesting for your division/unit.
This form is to be submitted as an appendix in your program review each fiscal year. Please note: positions
vacated (e.g., through retirement or resignation) do not go through the annual Classified Prioritization Process.
To refill these positions, please work with your area manager.
Official Position Title Requested:
For official position title, please visit: http://www.clpccd.org/HR/SEIU%20MOUs/ClassificationCompensationStudy_000.php.
If the position you are requesting does not appear on this list, please provide proposed position title and job description.
Has this position been requested, but not granted, in the past?:
Please indicate if this is a request for/to:
☐ New position hours per week months per year
Please attach proposed position title and job description if you are proposing a new position that does not appear on this
☐ Increase of an existing position
from: ☐ 9, ☐ 10, ☐ 11 month to: ☐ 10, ☐ 11, ☐ 12 month
from: % to: %
Estimate Increase / Proposed Annual Salary Cost:
(assume step 1 for vacant position) $
Note: total cost of position will include salary + benefits.
Why is this position necessary?
hat educational programs or institutional purposes does this position support? How does the request
to your Program Review, college plans (Strategic Plan, Education Master Plan, Facilities Master
Plan, Technology Plan), and/or Accreditation Recommendations?
Rec. Date: ___________
Fiscal Year: __________
Program Review: _____