Position/Compensation Request Form
2020 Hold on Hiring
1. Request Type: 2. Compensation Information:
Check one: Funding Source: State/IFR IDC (RF)
Create New Position
Replacement Position
Promotion
Reclassification
Extra Service
*Indicates Non-Employee
Increased Duties
FTE Increase
Temp Agency*
Independent Contractor
GA/TA
Student Employee
Account #:
Est. Salary Range:
Fringe Benefit Cost:
Location Pay: Yes No
Start-Up Package: Yes No
Est. Start Up Value:
Check one: Number of Positions Requested:
Internal Search Internal/External Search Waiver N/A
3. Budget Information (To be completed by Department/Division Budget Representative):
Budgeted: Yes No
Funding: PSR TS OTPS Budgeted Amount:
Reference # (CBM, Commitment, etc.):
Explain the budgetary impact of this expense.
Provide detail supporting the critical function of this position as outlined in the hold on hiring guidelines.
4.
Position Information:
VP Area:
Department:
Employer: State
RF
Non-Employee* Status:
Full Time
Part Time
FTE:
Position Type:
Faculty
Staff Non-Employee*
GA/TA
RPA (if IDC funds)
Official Title: _________________________________
Line #:_______________________________________
Anticipated Duration: __________________________
Supervisor Name:______________________________
Business Title:
Current/Previous Incumbent: _
How long has this position been vacant?
Proposed Start Date: ______________________________
Position_Compensation Request Form April 2020 4/29/2020
Position Supervisor: ___________________________________
Department/Unit
Head:
AVP/Dean:
VP/SVP/Provost:
5.
Signatures:
Dept/Div Budget Signature:
Date:
Date:
Date:
Date: _____________________
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