Human Resources (last revised 1/2019) Page 1
Staff Position Questionnaire
(Job Description)
Present Position Title
Reason for Form: Job Posting OR Position Reevaluation
If Reevaluation, Employee Name:
Recommended Title
(if different)
Supervisor Signature
Dept./College
Supervisor Name
Supervisor Title
Date
Part I Position Function/Duties
A. PURPOSE OF POSITION:
State briefly, in one or two sentences, the principal
purpose or function of this position.
B. POSITION REEVALUATION DETAIL: If this is a position reevaluation, please indicate the reason by clicking or placing
an X in the appropriate box (otherwise, skip to C).
Incumbent will: Maintain current duties and assume additional duties Decrease in duties Assume a new/vacant role
C. PRINCIPAL ACTIVITIES AND RESULTS:
Please list, in order of importance, the functions of this position and estimate the time spent performing each function over a
given period of time. Percentages must total 100%, and generally, individual functions/duties should not receive a % lower
than 5% or greater than 50%. For those functions that are essential (or “why the job exists”), list an “E” next to the function.
It is expected that positions will generally include both essential and non-essential functions.
% of
Total
Time
Position Function/Duties
_____
100% Total Note: Incumbent may perform other duties as assigned.
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signature
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Human Resources (last revised 1/2019) Page 2
Staff Position Questionnaire
(Job Description)
Part II: Scope of Position
A. DECISION-MAKING AUTHORITY AND
ASSIGNMENT OF WORK:
Describe who assigns, reviews and approves the
work of this individual and how decisions are
made.
B. COLLABORATION & CUSTOMER
INTERACTION
Describe the type and frequency of contact with
individuals other than immediate co-workers and
supervisor (e.g. other UAH departments, students,
UAH leadership, community and city officials,
UAH alumni and donors, media, etc.).
C. SUPERVISION EXERCISED:
List the titles of all employees reporting directly to this position in column #1 and show the number of employees with that title
in column #2. In column #3, indicate the number of employees reporting to the position shown in the first column (to
document layers of operational oversight).
1. Job Title Reporting Directly To The Position
2. Number of employees with job
title
3. Number of employees reporting thru position
Total number of employees supervised in chain of command (sum of column #3):
D. ORGANIZATIONAL CHART:
Please complete the organizational chart below (or attached an organizational chart), to indicate the positions above and
lateral to this position within the department.
Supervisor’s Supervisor
Title:
Name:
Supervisor
Title:
Name:
This Position
Proposed Title:
Lateral Position/Peer
Title:
Name:
Lateral Position/Peer
Title:
Name:
Lateral Position/Peer
Title:
Name:
Human Resources (last revised 1/2019) Page 3
Staff Position Questionnaire
(Job Description)
Part III: Knowledge and Skill Requirements
A. EDUCATION & EXPERIENCE
Estimate the minimum requirements of education and experience necessary for an individual to be considered for this position,
then list any preferred/desired qualifications.
I. Minimum/Required
II. Preferred/Desired
1. Education
2. Years and Type of Work Experience
3.
Certifications, Licenses and/or Specialized Technical Knowledge
Part IV. Americans with Disabilities Compliance Assessment of Job Requirements
Physical Demands (ADA Compliance)
A. GENERAL: How much on-the-job time is spent in the
following physical activities? Show the amount of time by clicking
or placing an X in the appropriate boxes below.
B. LIFTING: Does this position require that weight is lifted or force
is exerted? If so, how much and how often? Click or place an X in
the appropriate boxes below.
Stand
Walk
Sit
Talk or hear
Use hands/to handle/feel
Climb or balance
Stoop/kneel/crawl
Reach with arms
Taste or smell
Amount of Time
None Up to 1/3 1/3 - 2/3 2/3 +
Up to 10 pounds
Up to 25 pounds
Up to 50 pounds
Up to 100 pounds
More than 100
pounds
Amount of Time
None Up to 1/3 1/3 - 2/3 2/3 +
C. VISION: Does this position have any special vision requirements? Check all that apply.
Close Vision (clear vision at 20 inches or less)
Distance Vision (clear vision at 20 feet or more)
Color Vision (ability to identify and distinguish colors)
Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point)
Depth Perception (three-dimensional vision, ability to judge distances and spatial relationships)
Ability to Adjust Focus (ability to adjust the eye to bring an object into sharp focus)
No Special Vision Requirements
D. OTHER: Please list any other physical demands of the position.
For Human Resources Use Only (Please Do Not Write Below This Line)
Reviewed By:
Title:
Date:
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