Distribution by HR: Payroll HR/Benefits HR/Personnel File School Office DOF New Hire Form – FAC 8-2015
Hampshire College Human Resources New Hire Form (Faculty)
Please complete ALL data and forward to the Dean of Faculty Office for processing.
This document is confidential and should be treated accordingly.
Name: __________________________________________________________________________________________________
Last First Middle
Address: _________________________________________________________________________________________________
Street City State Zip
Home Telephone Number: _____________________________ Home E-mail: _______________________________________
Appointment Information: (please check all appropriate boxes)
New Hire - NH (NFAC)
Re-Hire - RH (ADD)
Change in General Ledger Number
Split GL Position (requires a form for each position)
Start Date or Effective Date: ____________________ End Date: _________________________
(for changes, recording leaves) (record contract end date, end date of leave/sabbatical)
Semesters: Academic Year Fall Semester Spring Semester January Term Other_____________________________
Rank: Dean – 61101 Professor – 61001 Associate Professor – 61001 Assistant Professor – 61001
Visiting Professor – 61004 Visiting Associate Professor – 61004 Visiting Assistant Professor – 61004 Scholar/Post-Doc - 61009
Adjunct Professor – 61006 Adjunct Associate Professor – 61006 Adjunct Assistant Professor – 61006 Adjunct Instructor – 61006
Adjunct Examiner – 61006 January Term Instructor – 61006 Emeritus Professor – 61006 Faculty Assoc – 61005 Sr. Faculty Assoc - 61005
Position Title: __________________________________________________________________________________________
Previous Incumbent’s Name ______________________________________ Reason for leaving: ____________________________
Divisional Committee Eligibility: Division III Chair Div III Member Division II Chair Div II Member Other_______________________
Salary/Budget Information:
Annual Salary: $________________________ FTE: ___________ TOTAL MONTHS IN EMPLOYMENT CYCLE: ________
Should match Current Salary Should match Current FTE
Funding Source: General Ledger Account Number: 80 0 90 0 ______ ______ ______ ______ ______
Department Fund Name/Grant Name: __________________________________________________________________
Comments: _____________________________________________________________________________________________________________
Faculty Exchange Program – if yes, please complete this section: Funding Source: 80 0 _____ _____ _____ _____ ______
Bill to: _______________________________________________________________ Amount: $ _________________________________
Office Information (OFFI):
Building: __________ Office :____________ Ext: ___________ Campus Mail Box: _________ Email: _______________________________
Authorization – REQUIRED SIGNATURES*
_____________________________________ ______________________________________ ________________________________________
School Dean Date
VP for Academic Affairs & Dean of Faculty or Director of Strategic Budgeting & Analysis Date
Associate VP of Academic Affairs Date
For Dean of Faculty and Human Resources Only
Dean of Faculty Office Processing: Position Type/FTE/Salary ( if changing used POSS screen)
Regular FTE (for position):________ Regular Salary (PBDS) (for position):_______________
Current FTE (for person in position):________ Current Salary (PWAG) (for person in position):_______________
Budgeted FTE (FTE currently budgeted):________ Budgeted Salary (XPOS/PBDI)(amount currently budgeted):____________
Human Resources Processing:
Position ID#___________________________________________________________ __________ MP - Pay Cycle
Department Abbreviation Object Code(3 digit) Title Abbreviation Pay Class
XHRS: Medical FTE_____ Benefit Start Date__________ HR PROCESS DATE/INITIAL: _________
