THE CITY UNIVERSITY OF NEW YORK
Employee Name
HEO - LABOR-MANAGEMENT COMMITTEE
APPLICATION FOR ASSIGNMENT DIFFERENTIAL FOR HIGHER EDUCATION SERIES EMPLOYEES
Contract Title
Department
College
CUNYfirst Functional Title
CUNYfirst Empl. ID #
Application for Assignment Differential by employee
DOCUMENTS SUBMITTED
Memorandum outlining excellence in performance or increased responsibilities within title
Name of College HR Director
Completed one or more years of service at the
top salary step in the salary schedule
Date on which one year on top salary step was completed
List any other documents submitted to support either excellence in performance or increased responsibilities within title:
Signature
For College HR Use Only
Date of submission by employee or supervisor
Date
OHRM - HEO LABOR-MANAGEMENT COMMITTEE -ASSIGNMENT DIFFERENTIAL APPLICATION - 12-7-2016 PAGE 1
Assistants to HEO, HE Assistants, or HE Associates, who have completed one or more years of service at the top salary step in their
respective salary schedules shall be eligible for a discretionary assignment differential of $ 2,500 to be added to their annual base salary,
based upon excellence in performance or increased responsibilities within the title. Eligible employees may be nominated by their
supervisor or may nominate themselves to receive the differential.
An eligible HEO Series employee or his/her supervisor should submit this form to the College HR Director with appropriate documents.
College HR Director will forward the form and any attached documents to the Chair of the Labor-Management Committee for appropriate
action.
Date of submission to HEO
Labor-Management Committee
Application for Assignment Differential by supervisor
Name of Supervisor
Signature of person submitting the application
Date
Salary information verified
Contract Title
HEO LABOR-MANAGEMENT COMMITTEE ONLY
OHRM - HEO LABOR-MANAGEMENT COMMITTEE - ASSIGNMENT DIFFERENTIAL APPLICATION - 12-7-2016 PAGE 2
Date
Signature
Name of Chair of the Labor Management Committee
Positive Recommendation made to the College HEO Committee
Not recommended
Assignment Differential Review
Date of Meeting
The signed form must be given to the College HR Director.
College HR Director must process approval.
College HR Director must give a copy of this form to the employee or supervisor who has submitted the request.
Comments, if any
Date of submission to the Chair of the College HEO Committee
Date
Signature
Name of President/President's Designee
Approved
Not approved
APPROVAL
PRESIDENT / PRESIDENT'S DESIGNEE
Date
Signature
Name of Chair of the College HEO Committee
Date of Meeting
Positive recommendation forwarded to President /President's designee
Not recommended
RECOMMENDATIONS
COLLEGE HEO COMMITTEE ONLY