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Staffing Requests (Mendocino College)

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1 | Page
Program Review Part 1A
Staffing Requests
2019-2020
Program Review Part 1A forms DUE Friday, April 15, 2020
PROGRAM TITLE:
PROGRAM CONTACT:
SUPERVISOR/DEAN:
VICE-PRESIDENT:
DATE OF REPORT:
If you need technical assistance, please contact Minerva Flores at
mflores@mendocino.edu or x3011. For further questions, please
contact Debra Polak at x3068.
• In order to provide adequate time for reflection on
program, division, area, department or service
improvement, there will be two submission dates for
Program Review 2019-2020. This is the first
submission
• If you are submitting a staffing request, you will be
completing this form, Program Review Part 1A
Select
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2 | Page
1A. STAFFING REQUESTS
If you are not making any
requests, click here:
Complete the form below for any requested staff. Please indicate whether the position is
Classified, Faculty or Management.
If this position is a REPLACEMENT position for a retiree, please ensure that the person has
submitted a resignation letter prior to program review.
If not, the position will need to be categorized as NEW. If you need additional request forms,
contact mflores@mendocino.edu
*NOTE: For STNC you do not need to fill out this form. Please contact your supervisor for
additional information.
Position Title: Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
Position Title:
Is this position in your department or area?:
If this position is NOT in your department, do not fill out a staffing request.
If you would like to support the position, please provide information ONLY in the comments
section below and make sure you have identified the position title correctly according to the
originating department.
Supporting comments for position:
Supporting comments for position:
Supporting comments for position:
Supporting comments for position:
Supporting comments for position:
NO REQUESTS
SELECT
SELECT
SELECT
SELECT
SELECT
SELECT
SELECT
3 | Page
Faculty
Staffing
Request
Faculty Position Title:
Department:
Please upload or provide a description below of the faculty
position:
3 YR
FTES/FTEF
Average
3 YR FTES
Average
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description of
Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will score this section
holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is
the need being met?
(Increase in hours,
PT, overload,
consultants,
backfilling
previously funded
position)
What is or has been
the impact of not
having this need
met? If this is part of
an existing program,
describe any
historical impacts
and needs which
arise out of the
absence of this
position.
Is this position
needed to oversee
facilities, budgets,
and/or equipment?
If so, explain.
Select
UPLOAD FILE
4 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports: Mendocino
College Mission
(Transfer, Basic Skills,
CTE); and Strategic
Goals—Be specific
about how the position
supports the mission or
goals
(3 points)
Supports: Education
Master Plan/EAP
Priorities; Student
Equity Plan; Guided
Pathways; Integrated
Plan; Vision for
Success; Technology
Plan; Facilities Plan—
be specific about how
the position supports
one of these (or other)
plans
(3 points)
Programmatic Factors:
Update in curriculum
or direction of the
department; addition of
degrees/certificates;
labor market
information; growth of
department; Program
Advisory Team (PAT)
recommendations.
(3 points)
How does this position
support Student
Learning Outcomes
(Course Program or
Institutional Level)
Please be specific about
ties to outcomes and
assessments.
(3 points)
Other (NOT SCORED)
Include any facilities,
equipment, etc. needed
to support this position
and other information
relevant to this request.
5 | Page
Faculty
Staffing
Request
Faculty Position Title:
Department:
Please upload or provide a description below of the faculty
position:
3 YR
FTES/FTEF
Average
3 YR FTES
Average
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description of
Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will score this section
holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is
the need being met?
(Increase in hours,
PT, overload,
consultants,
backfilling
previously funded
position)
What is or has been
the impact of not
having this need
met? If this is part of
an existing program,
describe any
historical impacts
and needs which
arise out of the
absence of this
position.
Is this position
needed to oversee
facilities, budgets,
and/or equipment?
If so, explain.
Select
UPLOAD FILE
6 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports: Mendocino
College Mission
(Transfer, Basic Skills,
CTE); and Strategic
Goals—Be specific
about how the
position supports the
mission or goals
(3 points)
Supports: Education
Master Plan Extension;
Student Equity Plan;
Guided Pathways;
Integrated Plan; Vision
for Success;
Technology Plan;
Facilities Plan—be
specific about how the
position supports one
of these (or other)
plans
(3 points)
Programmatic
Factors: Update in
curriculum or
direction of the
department; addition
of degrees/certificates;
labor market
information; growth of
department; Program
Advisory Team (PAT)
recommendations.
(3 points)
How does this
position support
Student Learning
Outcomes (Course
Program or
Institutional Level)
Please be specific
about ties to outcomes
and assessments.
(3 points)
Other (NOT
SCORED) Include any
facilities, equipment,
etc. needed to support
this position and other
information relevant
to this request.
7 | Page
MSC
Staffing
Request
MSC
Position
Title:
Department:
Please upload or provide a description below of the MSC
position:
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description of
Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will scored this
section holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is the need
being met? (Increase in
hours, PT, overload,
consultants, backfilling
previously funded position)
What is or has been the
impact of not having this
need met? If this is part of
an existing program,
describe any historical
impacts and needs which
arise out of the absence of
this position.
Is this position needed to
oversee facilities, budgets,
and/or equipment?
Select
UPLOAD FILE
8 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports: Mendocino
College Mission
(Transfer, Basic
Skills, CTE); and
Strategic Goals—Be
specific about how
the position supports
the mission or goals
(3 points)
Supports: Education
Master Plan
Extension; Student
Equity Plan; Guided
Pathways; Vision for
Success; Integrated
Plan; Technology
Plan; Facilities Plan—
be specific about how
the position supports
one of these (or other)
plans
(3 points)
Administration,
coordination and/or
supervision of
programs, faculty,
staff, volunteers and
budget
(3 Points)
Other (NOT
SCORED)
9 | Page
MSC
Staffing
Request
MSC
Position
Title:
Department:
Please upload or provide a description below of the MSC
position:
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description of
Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will scored this
section holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is the need
being met? (Increase in
hours, PT, overload,
consultants, backfilling
previously funded position)
What is or has been the
impact of not having this
need met? If this is part of
an existing program,
describe any historical
impacts and needs which
arise out of the absence of
this position.
Is this position needed to
oversee facilities, budgets,
and/or equipment?
Select
UPLOAD FILE
10 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports: Mendocino
College Mission
(Transfer, Basic
Skills, CTE); and
Strategic Goals—Be
specific about how
the position supports
the mission or goals
(3 points)
Supports: Education
Master Plan
Extension; Student
Equity Plan; Guided
Pathways; Vision for
Success; Integrated
Plan; Technology
Plan; Facilities Plan—
be specific about how
the position supports
one of these (or other)
plans
(3 points)
Administration,
coordination and/or
supervision of
programs, faculty,
staff, volunteers and
budget
(3 Points)
Other (NOT
SCORED)
11 | Page
Classified
Staffing
Request
Classified
Position
Title:
Department:
Please upload or provide a description below of the classified
position:
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description
of Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will score this
section holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is the need
being met? (Increase in
hours, PT, overload,
consultants, backfilling
previously funded position)
What is or has been the
impact of not having this
need met? If this is part of
an existing program,
describe any historical
impacts and needs which
arise out of the absence of
this position.
Is this position needed to
oversee facilities, budgets
and/or equipment? If so,
explain.
Select
UPLOAD FILE
12 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports:
Mendocino College
Mission (Transfer,
Basic Skills, CTE);
and Strategic
Goals—Be specific
about how the
position supports the
mission or goals
(3 points)
Supports: Education
Master Plan
Extension; Student
Equity Plan;
Technology Plan;
Vision for Success
Guided Pathways;
Integrated Plan;
Facilities Plan—be
specific about how
the position supports
one of these (or
other) plans
(3 points)
Program or Work
Area
Growth/Changes:
Describe changes in
the department, such
as grants, initiatives
or other
changes/increases in
work that support
this proposal.
(3 points)
Other (NOT
SCORED)
13 | Page
Classified
Staffing
Request
Classified
Position
Title:
Department:
Please upload or provide a description below of the classified
position:
Description of Need:
There are 2 parts to a staffing request: One section is titled “Description
of Need” and the second section is titled “Other Criteria”.
This section is worth 12 points. The staffing committee will score this
section holistically. Please provide narrative below.
Question:
Narrative:
Why is this position
needed?
Currently, how is the need
being met? (Increase in
hours, PT, overload,
consultants, backfilling
previously funded position)
What is or has been the
impact of not having this
need met? If this is part of
an existing program,
describe any historical
impacts and needs which
arise out of the absence of
this position.
Is this position needed to
oversee facilities, budgets
and/or equipment? If so,
explain.
Select
UPLOAD FILE
14 | Page
Other Criteria:
Criteria is worth 3 points each. There is a space designated as “Other” in which
you can include any additional information that may impact scores.
Criteria:
Narrative:
Supports:
Mendocino College
Mission (Transfer,
Basic Skills, CTE);
and Strategic
Goals—Be specific
about how the
position supports the
mission or goals
(3 points)
Supports: Education
Master Plan
Extension; Student
Equity Plan;
Technology Plan;
Vision for Success;
Guided Pathways;
Integrated Plan;
Facilities Plan—be
specific about how
the position supports
one of these (or
other) plans
(3 points)
Program or Work
Area
Growth/Changes:
Describe changes in
the department, such
as grants, initiatives
or other
changes/increases in
work that support
this proposal.
(3 points)
Other (NOT
SCORED)
15 | Page
You have completed Part 1A of your
2019-2020 Program Review.
Please click the submit button below:
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Completed 4 September 2020

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