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_________________________________________________________________________________________________
Pasadena Area Community College District
REQUEST FOR EMPLOYMENT OF PERSONNEL
CLASSIFIED – CFT ACADEMIC MANAGEMENT– ACADEMIC
CLASSIFIED – CSEA MANAGEMENT– CLASSIFIED
CLASSIFIED – POA
CLASSIFIED – CONFIDENTIAL
REQUEST IS TO:
Replace an Existing Position Vacated By ____________________________________________________________
Position Title __________________________________________________________________ Salary Range________
Increase or Decrease an Existing Position (attach rationale) New Position (attach rationale & job description)
From _________________________________Range_____ To _________________________________ Range_______
Percent Assignment _____ No. of Months _____ Hours/Days to Be Worked _________________________________
Permanent First-Year Contract Temporary: From_____________________ To ___________________
(Dates of Employment)
Cost Center Name___________________________________ Funding Source ________________________________
Work Location Name_________________________________ Work Location Number
(Check with HR) ______________
In case of grant or temporary funding: Begin Date of Funding _______________ End Date of Funding ______________
Salary account(s): _____ - ________ - ________ - ________ % _________________ EMP: _______
(14 digit account code) (% of labor distribution)
_____ - ________ - ________ - ________ % _________________ EMP: _______
(% of labor distribution)
_____ - ________ - ________ - ________ % _________________ EMP: _______
(% of labor distribution)
_____ - ________ - ________ - ________ % _________________ EMP: _______
(% of labor distribution)
Advertise in
Star-News LA Times Special mailing Other ________________________________
(Labels attached)
_____________________________________________
Remarks: ________________________________________________________________________________________
APPROVALS:
1) ______________________________________ ___________ 2) _______________________________________ __________
Cost Center Manager Date Asst. Sup./ Vice President Date
3) ______________________________________ ___________ 4) ________________________________________ __________
Budget Date Vice President, Human Resources Date
a. Position Control No. __________________________
5) ______________________________________ ___________ 6) ________________________________________ __________
Asst. Sup / VP, Business & Admin Services Date Superintendent-President Date
HR Revised 9/19/2016
Post&FillInstructions