Metropolitan State University of Denver
Personnel Action Form
SIGNATURE ROUTING:
Position Create/Revise/Abolish: Supervisor, Dean/Next Level Higher, Vice President/President, Budget/Accounting/Foundation, Human Resources
Recruit: Supervisor, Dean/Next Level Higher, Vice President/President, Budget/Accounting/Foundation, Human Resources, Equal Opportunity
Appointment: Supervisor, Dean/Next Level Higher, Vice President/President, Equal Opportunity Office, Budget/Accounting/Foundation, Human Resources
FTE or Salary Adjustment: Supervisor, Dean/Next Level Higher, Vice President/President, Budget/Accounting/Foundation, Human Resources
Revised 03/06/2018
Banner Entry Date:
HR Rep Initials:
I. ACTION:
Position
Create*(See Instruction)
Revision/Reclassify*
Abolish
*(Attach Position Description/PDQ)
Recruitment
Internal
External
Waiver of Advertising*
*(Attach EEO Announcement Form)
Other Actions
FTE% or Salary
Supervisor Change
FOAP Change
Requires separate Personnel Action
Form at time of appt.
Appointment
New or Temporary
Promotion or Salary adj.
Transfer or Reassign
(Complete Section II and V)
II. EMPLOYMENT CLASS:
Faculty (Category II)
Senior Lecturer (6 years or more)
Visiting
Lecturer
Instructor
Classified
Permanent
Temporary/ Hourly
Administrator
Permanent
Prof. Temporary or Grant-Funded
Interim
Temporary/Hourly
Faculty (Category I)
Tenured
Probationary
III. POSITION DATA, NEW TITLE, AND/OR INITIAL APPOINTMENT:
Employee Name:
(Leave this line blank for recruitment or creating a position)
Employee ID#:
Employee User Name:
Title:
Position Number:
Full-Time Part-Time
Appointment Dates:
Begin Date:
Supervisor Name:
Supervisor Phone:
Supervisor ID #:
Supervisor Position Number:
(Supervisor User Name and Position Number needed for Leave
Reporting on the Web)
End Date:
Position Home Org Code:
Position Campus Box:
Position Campus Phone:
Work Schedule:
Base Salary: $
(Change to current salary or funding, complete
section IV)
(Classified/Hourly appointments insert monthly
or hourly rate)
IV. FUNDING
CURRENT FUNDING:
Change Effective Date:
NEW FUNDING
Fund
Org.
Acct.
Prog.
Act. /Loc.
Split %
Salary
Fund
Org.
Acct.
Prog.
Act./Loc.
Split %
Salary
Total = 100%
Total = 100%
Activity
Code:
In
kind
grant
matching
must
use
activity
code.
Split
%
Fund
IDENTIFY HOW FUNDING IS DETERMINED
(FOR NEWLY CREATED, REVISIONS/RECLASSIFICATIONS):
V. JUSTIFICATION/SPECIAL CONDITIONS:
(Please use this space to justify action requested or to include special conditions on contract.
For new faculty or administrative appointments, attach resume and transcripts. For new faculty appointments, attach a salary assessment form.)
State Appropriated Auxiliary Funded Grant Funded Student Fee Funded
Reason:
VI. APPROVALS:
Immediate Supervisor
Date
Human Resources
Date
Dean/Director (or Next Higher Level)
Date
Affirmative Action Officer*
Date
Vice President/President
Date
Grant PI
Date
Budget/Accounting Services/Foundation Date
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PERSONNEL ACTION FORM INSTRUCTIONS
Position (Used only for Administrators, Classified, and Hourly position. Follow Academic Affairs procedures for creating new faculty positions):
The creation and/or revision/reclassification of a permanent position must be completed and a position number assigned prior to requesting to recruit or appoint.
Section I:
1. Check “position” and “create”
2. Attach position description
a. For Administrators PeopleAdmin Description: https://www.msudenverjobs.com/
For Classified -
http://www.msudenver.edu/media/content/humanresources/forms/PositionDescriptionQuestionare.doc
3. Attach an organizational chart of the division, highlighting where your new position is located.
Section II:
1. Check what employment class you wish to create the position and what type of appointment it is.
Section III:
1. Complete all fields relating to the position. There will be sections that are not relevant to complete for a position creation (i.e. Employee Name, ID#,
Position Number, and Base Salary).
Section IV:
1. Complete “Current Funding” section with the FOAP the position salary and benefits will be charged to.
2. Complete the “Identify the Funding Source” section. For base positions, funding must be identified for the full base salary.
3. Contact the Budget Office if you have questions at 303-556-3020.
Section V:
1. List any special qualifications, justification, need, or explanation in this section as it relates to creating a new position.
Section VI:
1. Sign it as the supervisor of the position and forward according to the Signature Routing guide at the bottom of the form.
Recruitment:
Section I:
1. Check “Recruitment” and the method of recruitment you are requesting.
2. If recruitment is for Administrators or Faculty, attach position announcements or waiver of advertising forms available at
http://www.msudenver.edu/eoo/policiesandprocedures/ftsearchscreeningproceduresforms/
. If Classified, do not attach anything.
Section II:
1. Check the employment class for which you wish to recruit. Check what type of employment this position will have (i.e. temporary, permanent,
interim).
Section III:
1. Complete all fields relating to the position. There will be sections that are not relevant to complete for recruitment (i.e. Employee Name, ID#, Begin
Date and Base Salary).
Section IV:
1. Complete “Current Funding” section with the FOAP the position salary and benefits will be charged to.
2. Complete the “Identify the Funding Source” section only if there is a change in funding and/or FTE from when the position was created.
Section V:
1. List any special qualifications, justification, need, or explanation in this section as it relates to recruiting for this position.
Section VI:
1. Sign it as the supervisor of the position and forward according to the Signature Routing guide at the bottom of the form.
Appointment (When requesting an appointment, you cannot request more than one action on a single form):
Section I:
1. Check “Appointment” and the type of appointment you are requesting.
Section II:
1. Check the employment class for which you wish to appoint. Check what type of employment this appointment should be placed into (i.e. temporary,
probationary, interim).
Section III:
1. Complete all fields.
Section IV:
1. Complete “Current Funding” section with the FOAP the position salary and benefits will be charged to.
2. Complete the “Identify the Funding Source” section if there is a change in funding and/or FTE from when the position was created.
Section V:
1. List any special qualifications, justification, need, or explanation in this section as it relates to recruiting for this position.
Section VI:
1. Sign it as the supervisor of the position and forward according to the Signature Routing guide at the bottom of the form.
FTE or Salary Adjustment:
Section I:
1. Check “FTE % Change or Salary Adjustment.”
2. Write in the old FTE percent or old salary in the appropriate area.
3. Write in the new FTE percent or new salary in the next line.
4. Write in the effective date.
Section II:
1. Check the employment class of the position for which you are making the adjustment.
Section III:
1. Complete all fields. If the position is vacant, there will be some fields that you will not complete (i.e. Employee Name, Employee ID#, and
Appointment Dates).
Section IV:
1. Complete the “Identify the Funding Source” section. Funding must be identified for total amount of increases in salary or FTE.
Section V:
1. List any special justification, need, or explanation in this section as it relates to changing the appointment or the salary for this position.
Section VI:
1. Sign it as the supervisor of the position and forward according to the Signature Routing guide at the bottom of this form.