Fillable ST. CLOUD STATE UNIVERSITY Unclassified Change Form (Saint Cloud State University)

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ST. CLOUD STATE UNIVERSITY Unclassified Change Form (Saint Cloud State University)

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BROWSE SAINT CLOUD STATE UNIVERSITY FORMS

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ST. CLOUD STATE UNIVERSITY
Department/Center
Unclassified Change Form
Campus Address (Building/Room)
This form must be used to make any changes in the initial appointment of an unclassified employee or to process any
additional appointments or salary adjustments.
Name: SCSU Tech ID:
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Additional Appointment:
Type of Additional Pay:
Amt. Account No.
Overload No. of Credits
Honorarium
Extra Duty Days No. of Days Dates
Sub Pay No. of Days Dates
Assignment:
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Current Appointment Change: From To
Appointment Salary $ $
Effective Date
Percent of Time
Reason for Change
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Termination: Complete this section for persons resigning prior to the end of their appointment or for those
tenured/probationary employees who retire or resign at the end of their appointment.
Reason (check one)
Retirement Last working day / /
Resignation
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Approvals:
1. 4.
Dept. / Program Chairperson Date Office of Sponsored Programs
(For Grant Accounts only)
Date
2. 5.
College Dean Date Vice President / President Date
3.
Continuing Studies Dean (For courses offered
through Continuing Studies only)
Date 6. Human Resources Date
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Human Resources / Payroll Use Only:
/ / / /
Begin End S4 position S4 Rcd. # FY Assign Type
EARN TYPE AMOUNT LOCAL ACCT. PAY PERIODS: AMOUNT:
/ /
/ /
/ /
Revised July 2014
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ST. CLOUD STATE UNIVERSITY Unclassified Change Form (Saint Cloud State University)

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Completed 25 August 2020

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