MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
RECLASSIFICATION REVIEW FORM
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
Name: Supervisor’s Name and Title:
Current Classification/Requested Classification &
Level:
Work Phone Number:
Campus/Department::
Is the Immediate Supervisor Statement signed?
(Required) Yes No
EMPLOYEE’S STATEMENT
In three to five sentences below, briefly and accurately describe any essential job duties and/or functions that have been added,
changed or removed.
JOB FUNCTIONS: DUTIES AND RESPONSIBILITIES
The following information you provide is the most important part of this documentation. Please provide the information in a manner
so that anyone reviewing this information will be able to understand. PLEASE CLEARLY INDICATE THROUGHOUT THE
RECLASSIFICATION REVIEW FORM IF CHANGES IN DUTIES ARE TEMPORARY OR PERMANENT.
Avoid abbreviated, vague, or abstract words, such as “assists,” “handles,” “keeps,” or “prepares,” unless you describe how you assist,
what you prepare, etc. For example:
BE SPECIFIC & CONCISE (see below) DON’T BE VAGUE (See below)
Receives, opens, time stamps, and distributes incoming mail Assists in handling mail
Calculates, verifies, and posts billing amounts Prepares final billings
Maintains accurate records on the flow of input information, outpu
t
r
ecords, machine operations, operator assignments, and staff time
Keeps records
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
Please review your most recent job description and:
List the essential job functions you perform in order of their importance. Typically, most jobs have 8 to 10 essential job functions that
are the most critical. If you need more space, attach additional pages.
FREQUENCY
Provide the approximate percent of time you spend on each essential duty.
The total of all percentages should not be more than 100 percent.
IMPORTANCE
1 = MINOR
2 = AVERAGE
3 = CRITICAL
New Duty
Provide date that new duty was added
Ongoing Duty
Indicate with a “yes” or “no”
Frequency
(% of time)
Importance
New
Duty
Ongoing
Duty
Are any of the duties described above outside the scope of your description (out-of-class)? If so, please describe below (add
pages if necessary):
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
Other duties: List other tasks/duties not previously listed that you perform occasionally as part of your job. If you need more space,
attach additional pages.
Task / Duty
Estimate Time Spent in
Hours/Week/Days/Month
IMPACT AND SCOPE
List services and/or any work products directly generated as a result of the tasks and duties you perform (e.g., policies,
guidelines, budgets, reports, letters, memos, computer-generated printouts, profit and loss statements, etc.). List the receiver/contact
for each of these services/work products (include internal and external contacts).
Services/Work Product(s)
Internal Contact’s
Name/Title
External Contact’s
Name/Company
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
Authority: Has your level of authority changed from what is indicated in your most recent job description?
For example: YES NO
D
ecision Making Authority
Ensure Compliance with Laws, Codes and Standards
Supervisory or Lead Authority
I
f yes, describe changes in level of authority below:
B
udget: Has your level of budget authority changed from what is indicated in your most recent job description? (e.g., plan,
model, prepare, review, monitor, approve, etc.)?
YES NO
If yes, describe changes to duties and responsibilities below:
Am
ount of operating budget for which you are responsible, if any $
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
SUPERVISION / DIRECTION
Supervision/Direction received: Please select one of the following that best describes the type and amount of supervision that
your position receives.
My supervisor frequently checks my job activities.
I work alone on routine or regular work assignments and check with my supervisor on non-routine
assignments or when in doubt as to the correct procedures to follow.
I receive occasional supervision while working toward a definite objective that requires use of a wide range
of procedures. I plan, and/or determine specific procedures or equipment required to meet assigned
objectives, and I solve non-routine problems. I refer only unusual matters to my supervisor.
I work from broad policies and towards general objectives. I refer specific matters to superior(s) only when
interpretation or clarification of organizational policies is necessary.
I work from general directives or broadly defined missions of the organization.
From whom do you receive work assignments?
Name Title
Supervision/direction given: Do you directly supervise employees (including conducting performance evaluations)?
YES NO
Indicate the total number of employees supervised directly: and indirectly:
Supervision/direction given: Do you perform “Lead” duties? YES NO
List the employees you directly supervise or lead (include name, classification and status). If you supervise or lead more than
ten employees, you may list only the job titles and number of people supervised:
What type of supervision/lead do you provide? Please select all of the supervisory/lead duties you perform, the level of your
authority, and indicate whether you perform this activity for employees, non-employees (e.g. volunteers), or both.
STATUS
FTE = Full-time employee
P
T = Part-time/Intermittent employee/Student Worker
TEMP = Temporary or Contract employee
Job Title and Number of Staff Supervised
Type of Supervision
(direct or of lead)
FTE PT/TEMP
STUDENT
Direct Lead
Direct Lead
Direct Lead
Direct Lead
Direct Lead
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
What type of supervision/lead do you provide? Please select all of the supervisory/lead duties you perform, the level of your authority, and
indicate whether you perform this activity for employees, non-employees (e.g. volunteers), or both.
Duty
No
Authority
Recommend
With
Prior
Approval
On Own
Authority
Employee or Non-Employee
Plan and/or schedule work for others on specific projects
Employee Non-Employee
Plan and/or schedule work for others on a daily basis
Employee Non-Employee
Assign or delegate work to others on specific projects
Employee Non-Employee
Assign or delegate work to others on a daily basis
Employee Non-Employee
Supervise work of others on specific projects or on a daily
basis, please specify below:
1.
Employee Non-Employee
2.
Employee Non-Employee
3.
Employee Non-Employee
Establish rules, procedures, and/or standards
Employee Non-Employee
Approve overtime and/or leave
Employee Non-Employee
Evaluate performance
Employee Non-Employee
Take corrective action
Employee Non-Employee
Resolve complaints and/or problems
Employee Non-Employee
Other Specify::
1.
Employee Non-Employee
2.
Employee Non-Employee
3.
Employee Non-Employee
PLANNING / DECISION MAKING
If you develop or assist in developing policies or procedures for your functional area, or the organization as a whole, describe
this activity below:
List below any formal guidelines, standards, regulations, etc. within which your job must be performed:
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
KNOWLEDGE / SKILLS / ABILITIES
Please review your most recent job description and:
Summarize the types of knowledge, skills and abilities your job requires. (For example, if you were recruiting to fill jobs identical
to yours, what knowledge, skills and abilities would you expect a job applicant to have to be competent on the first day on the job?)
Note: If the required Knowledge, Skills and Abilities requirements have not changed, please indicate that below:
a. Knowledge of:
b. S
kill in:
c. Ability to:
E
ducation / Training / work experience: Describe any changes to education and/or previous work experience required to perform
your job. (For example, what type of background would you expect a successful job applicant to have?)
Note: If the required Education, Training, Work Expereince requirements have not changed, please indicate that below:
Licenses, registrations, or certificates: Does the job require a CLASS C Driver’s License? YES NO
List any other licenses or certificates required by law or your employer to perform your job.
License or Certificate
Required by:
Law Employer
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
EMPLOYEE STATEMENT CONCLUSION
If there are other NEW OR REMOVED aspects of your job not covered in this documentation that are important in understanding
your job content please describe below.
Employee Signature
Date
IMMEDIATE SUPERVISOR’S STATEMENT
click to sign
signature
click to edit
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It is the responsibility of the employee to submit completed and signed documentation
to Human Resources by January 31st.
Employee Name:
Supervisor’s Name and Title:
Employee’s Current Classification:
Campus/Department:
Work Phone Number:
Supervisor’s Phone Number:
SUPERVISOR AND/OR MANAGER RESPONSIBILITY:
It is the responsibility of the supervisor and/or manager to inform the area Vice President that a
reclassification request has been submitted.
There are two essential cautions you should observe:
Under no circumstances should you change or alter the employee’s document.
Do not make any statements or comments about the employee’s work performance, competence or qualifications.
This documentation will be used to evaluate the duties that constitute the position, not the performance or qualifications of
the employee. Attach additional sheets if necessary.
Please check the boxes that apply:
I have reviewed the documentation submitted by the employee. I have no additional comments
I have additional comments below:
1. Does the current job description accurately reflect the tasks, duties and responsibilities that are actually required of this
position? If not, please clarify:
2. Do you agree with the other additional information given by the employee? If not, please clarify:
3. What, if any additional information should be considered?
Immediate Supervisor’s Signature Date
Dean/Vice President
_____________________________________________________________________________
Date
_____________________________________-
click to sign
signature
click to edit
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