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Revised: 09/19/2014
WINTHROP UNIVERSITY
Request for Salary Action
(Not for New Hires)
Department: Today’s date:
Employee Name: Requested Effective Date:
Action Type (select all that apply)
Salary Information
Individual performance
Current Base Salary:
Promotion
Reassignment
Requested Base Salary:
Retention
Reclassification
% Increase/Decrease:
Exceptional Salary Increase (above 15%)
Additional Knowledge/Skills/Abilities
Dollar Amount of Increase:
Additional Duties
Demotion: Voluntary or Involuntary
(circle one)
Source of funding increase (FOA):
Attachments:
Position Description (required for additional duties and/or reclassification)
Other
Justification for proposed salary:
Supervisor Signature: Date:
Department Head Signature: Date:
Vice President Signature: Date:
To be completed by Budget
Regular Position Fund/Org: Amount:
Budget Position #:
Source of additional funding: Amount:
Available Funding Verified by: Date:
To be completed by Human Resources
Current Class/Slot:
Winthrop Average:
(if
applicable)
:
State Average SCEIS):
Higher Education Average (HRIS):
CUPA Average (if applicable):
(required for individual
performance request)
HR recommendation:
Human Resources Signature: Date:
To be completed by Personnel Committee
Personnel Committee Signature: Date:
Circle one: Approved Denied
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SalaryActionRequestFormFillable WINTHROP UNIVERSITY

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Completed 25 February 2020

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