THE EXEMPT GROUP
MEMORANDUM
TO: JOB EVALUATION CONSULTANT
STAFF RELATIONS
FROM:
RE: EMPLOYEE REQUEST FOR RECONSIDERATION OF JOB EVALUATION
RESULTS
PLEASE NOTE THAT SECTIONS A, B, C and D MUST BE COMPLETED WITHIN TEN (10)
WORKING DAYS OF RECEIPT OF EVALUATION RESULTS.
SECTION A: IDENTIFYING INFORMATION:
DEPARTMENT NO: POSITION NO: JOB TITLE:
DEPARTMENT NAME:
EMPLOYEE NAME:
SECTION B: REQUEST FOR RECONSIDERATION:
I wish to submit a Request for Reconsideration following the evaluation and subsequent band
placement of my position. I understand that the banding is based on the information contained
in the most recent job fact sheet. Additional information is supplied in Section C of this request.
NOTE: I understand that the reconsideration could result in an increase or decrease in total
points which may or may not influence the placement of the job within the band.
Signature of Incumbent: Date
click to sign
signature
click to edit
SECTION C: ADDITIONAL INFORMATION BASED ON SPECIFIC FACTORS:
As you know, the plan measures the complexity/judgement, education, experience, initiative,
impact of error, contacts, character of supervision, scope of supervision, physical and mental
demands, and working conditions. Therefore, please ensure that your comments relate to the
above mentioned factors in your job fact sheet. Please include the factor and your reason(s) for
reconsideration related to that factor.
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
I disagree with the evaluation of the factor named above because:
Factor:
SECTION D: APPROVALS:
SUPERVISOR SIGNATURE: Date:
CHAIR OR DEPT. HEAD SIGNATURE: Date:
DEAN OR DIRECTOR SIGNATURE: Date:
REVISED JUNE 2015
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome