May 2010 Page 1 of 2
POLK STATE COLLEGE
POSITION CLASSIFICATION REQUEST
Use this form when requesting a classification review of new position or a reclassification review of an existing
position. Requests for reclassifications are appropriate when job duties or responsibilities have experienced
permanent and substantial change. The information below should be completed and then reviewed by
appropriate budgetary heads and submitted to the Office of Human Resources.
Requested by: Requested Effective Date:
Current Position Title: Existing Pay Level:
Proposed New Title, if applicable: Proposed Pay Level:
Request due to:
College or Department changes that require a New Position
College or Departmental Changes that affect a Current Position
Change ŝn level of responsibility or scope of the position
Significant changes in assigned work due to business or departmental needs
Departmental restructuring
Reduction in force
Other, state reason:
JUSTIFICATION: Please state the reasons for the new position or reclassification request, a summary of key
responsibilities or changes to the position, and any relevant background information:
Describe what prompted the request for a classification review. Provide any relevant background information which may
have resulted in changes to the department or this position (e.g. reorganization of department, consolidation of positions,
new or significantly expanded programs, college strategic plan, etc).
Summarize the responsibilities of this position or changes to scope, complexity, impact to the department or college, decision
making, authority/independence to act, consequence of error, types/amounts of resources managed, or required knowledge.
Provide additional information that justifies the request or assists with understanding the need.
May 2010 Page 2 of 2
How does this new or reclassified position relate to the PSC Strategic Plan?
JOB DESCRIPTION (current and proposed)
Attach a proposed job description for a new position. For reclassification reviews, attach the current and
proposed job descriptions for the position, after review by the appropriate organizational heads. The
finalized job description will be the basis for reclassification, along with internal and external compensation
equity reviews.
ORGANIZATIONAL CHART (current and proposed)
Attach a current organizational chart of the position’s department, showing the relationship of the new or
reclassified position to its supervisor, department head, subordinates, and peers. Any additional relevant
organization charts, which would aid in the review process (e.g. previous organizational chart in case of a re-
organization or re-assignments), should be included as well.
SALARY CHANGES/BUDGETARY IMPACT
Any proposed salary changes due to a new or reclassified staff position should be included in the submission
of the review request. Be sure to include a separate sheet that outlines the overall budgetary impact due to
this specific recommendations or reorganization. Include before and after change data and include the cost
of benefits in calculating salary changes.
APPROVALS
_____________________________________ _____________________
Reviewed and approved by Budget Head Date
_____________________________________ _____________________
Reviewed and Approved by the Administrator Date
_____________________________________ _____________________
Reviewed and Approved by Human Resources Date
_____________________________________ _____________________
Reviewed and Approved by VP Admin/CFO Date
HR USE ONLY:
If approved, ensure the following:
EAF
RPAs
Salary Schedule Changes
Include in DBOT Report