Revised 02/2016
FISK UNIVERSITY
Personnel Action Form (Request for Job Posting)
POSITION INFORMATION: (Position job description must be attached to requisition form)
ADVERTISING INFORMATION: Indicate advertising medium(s) to be used
BUDGET INFORMATION:
APPROVAL SIGNATURES:.
Requisition Number: (HR Use Only)
New Position ___Yes ___ No
If no, name of last employee in
position:
Salary Data: (HR Use Only)
Salary Range for Similar
Positions at Fisk:
From: $
To: $
Salary Market Comparables:
From: $
To: $
Position Classification:
Exempt
Non-Exempt
Appointment Type:
Full Time
P/T /Adjunct
Temporary
Summer
Faculty Appointment Type:
Tenured
Non Tenured
Tenure Track # ______ years ending
academic year ______
Position Type:
Administrator
Support Staff
Full Professor
Associate Professor
Assistant Professor
Instructor
Lecturer
Research Assistant
Graduate Assistant
Student Employee
Intern
Other
Salary of last employee in position:
$
Unrestricted Budget Account(s): (Fill in blanks for the appropriate account number to be charged for salaries)
#1100 - _ _ _ - 5001 Faculty #1100 - _ _ _ - 5002 Administrative #1100 - _ _ _ - 5003 Part Time
#1100 - _ _ _ - 5004 Union #1100 - _ _ _ - 5005 Maintenance #1100 - _ _ _ - 5008 Student (Undergrad) Non-tax
#1100 - _ _ _ - 5120 Student (Undergrad) Taxable #1100 - _ _ _ - 5121 Student (Grad) Non-tax
#1100 - _ _ _ - 5122 Student (Grad) Taxable #1100 - _ _ _ - 5123 Student (Foreign) Non-tax
#1100 - _ _ _ - 5124 Student (Foreign) Taxable #1100 - _ _ _ - 5125 Graduate Stipend
#1100 - _ _ _ - 5126 Undergraduate Stipend #1100 - _ _ _ - 5127 Adjunct Faculty
#1100 - _ _ _ - 5009 Temporary Agency #1100 - _ _ _ - 7020 Faculty Stipend
Percentage of salary to be charged to unrestricted Acct: _____ %
Reason for Position to be filled or created: (Attach an additional sheet if required)
Restricted Budget Account(s): (Fill in blanks for the appropriate account number to be charged)
#_ _ _ _ - _ _ _ - _ _ _ _ Acct Name: _________________________ Percentage to be charged: _____ %
#_ _ _ _ - _ _ _ - _ _ _ _ Acct Name: _________________________ Percentage to be charged: _____ %
#_ _ _ _ - _ _ _ - _ _ _ _ Acct Name: _________________________ Percentage to be charged: _____ %
Budget Dir. Signature & Date:
Vice President of Finance & CFO
Signature & Date:
Direct of Human Resources Signature & Date:
HUMAN RESOURCE DEPARTMENT USE ONLY
Account to be charged for Advertising: # _ _ _ _ - _ _ _ - 7010
Initiator’s Signature &
Date:
Provost Signature (If Academic
Dept):
Dir. of Sponsored Programs (If Applicable):
Grant Accountant Signature (If Applicable):
