R
R
E
E
Q
Q
U
U
E
E
S
S
T
T
F
F
O
O
R
R
P
P
E
E
R
R
S
S
O
O
N
N
N
N
E
E
L
L
A
A
C
C
T
T
I
I
O
O
N
N
(
(
R
R
P
P
A
A
)
)
FACULTY POSITIONS
No commitment to hire can be made until the hiring process is complete and the AA Officer/HR Director has approved the appointment
REQUIRED FOR ALL POSITIONS:
Special Posting/Advertising: YES NO If Yes, attach detail.
Department Number(s) and Unit Number(s):
(for position and advertising charges)
Will this position be funded through more than one department? YES NO
Proposed Incumbent(s): ______________________________
Cruise OR Academic Non-Cruise
Tenure-Track OR Non Tenure-Track OR Instructional Faculty, Extension - attach agreement form and select course(s):
TYPE OF ACTION REQUESTED (Check one)
New Position
Fill Vacant Position Former Incumbent _________________________Date Vacated_______________
Extension of Appointment From: ________________ To: ______________________
Increase in Pay Type: _____________________ Percentage: _________ OR Amount $ _______________
Other ___________________________________________________________________________________
FOR HUMAN RESOURCES USE ONLY
Administrative / Fiscal Approvals
___________________________________ ________________ __________________________________ ________________
Department Chair Date Academic Dean Date
___________________________________ ________________ __________________________________ ________________
Budget Officer (for all new positions and grants) Date Provost Date
___________________________________ ________________
President (required for all tenure-track positions) Date
Human Resources Use Only
Requisition # _____________ Job Bulletin Number ________________Job Code _____________ Range Code__________ Position #___________________
Hire Date_____________________ Salary _____________________ Above Midpoint: Yes/No Benefits: Yes/No PERS: YES/NO PST: YES/NO
Date Keyed Into People Soft _________________________________ Date Sent To Payroll ___________________________
HR ANALYST_______________________________________________ HR DIRECTOR
_____________________________________________
Signature Date Signature Date
Revised 7/10
