Fillable UNCLASSIFIED EMPLOYMENT REQUEST FORM MSUAASF & MinnState Administrator (Saint Cloud State University)

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UNCLASSIFIED EMPLOYMENT REQUEST FORM MSUAASF & MinnState Administrator (Saint Cloud State University)

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UNCLASSIFIED EMPLOYMENT REQUEST FORM
Faculty Hire
SPECIAL ASSIGNMENTS: List special assignments; include percentage of teaching and/or non-teaching assignment(s)
For part-time appointments specify nature of the assignment, courses and credit hours assigned.
Supervisor Signature
Date
Dean Signature
faculty only
Date
Date
Institutional Equity and Access Officer
Date
Unit Vice President or Academic Vice President
Date
Director of Grants & Contracts ( for grant funded appointments)
Date
beyond 12 months or
conducting a search consult
with Human Resources
REV1/15/2014
Department Chairperson/Center Director
faculty only
Campus Address:
Tech ID:
Name:
MSUAASF & MinnState Administrator Hire
Title:
Probationary
FTNP
Adjunct
Probationary
Prof. Assoc. Prof
Asst. Prof
Instr.
Type of Appointment
Rank
Type of Appointment
Fixed Term
to
No
Yes, indicate last year of employment _____________
No
-
academic year
Exempt Non-Exempt
(circle one) (circle one)
Date
Salary Approved $
Human Resources Director
SOURCE OF FUNDING
___ M&E/Cost Center:_____________
___ Health Services
___ Residence
Hall
___ Student Union
___ Continuing Education
___ Other (specify)________________
PeopleAdmin Position # ___________________ PCN: ___________________
Replacement for ___________________________________________________(name)
___ Additional Position
___ Other (specify) _______________________________________________________
IDENTIFICATION OF POSITION
APPROVAL OF EMPLOYMENT REQUEST: (Note any conditions above or on a separate sheet)
• The Dean/Associate hiring department will need to log in to PeopleAdmin and print the Job Posting, Notice of Vacancy, the New Hire Application, Vita,
Transcripts, and References and attach to this form.
Department :
(First) (MI)
(Last)
Base Salary
Appointment is_____________ percent of full time during appointment period
Final Probationary Year is
Appointment is from
Previously Employed at St. Cloud State?
Yes, indicate last year of employment _____________
(9 mo) (Final salary offer must be approved by Academic Affairs)
Appointment Salary _____________________
Step ___________________
Percent of Time ___________ Teaching ____________ Non-Teachi
ng
SPECIAL CONSIDERATIONS: Specify stipulations pertaining to tenure if any. Also, specify any special considerations for
employment. Anything appearing here will be placed on the appointment form.
Base Salary /Salary Recommended ___________________________
Salary Range ____________________________________________
Interim: (specify date permanent Interim)______________________
Notification Date/Permanent Status___________________________
Appointment is_____________ percent of full time during appointment period
Previously Employed at St. Cloud State?
(MSUAASF & MinnState Administrator Only)
Salary Range A B C D E Step
R
ev. 7/25/19
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UNCLASSIFIED EMPLOYMENT REQUEST FORM MSUAASF & MinnState Administrator (Saint Cloud State University)

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Completed 25 August 2020

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