This Form Must Be Submitted and Approved by the CLTCC Chancellor PRIOR to Posting a Job

Revised: 12/20/2013 POSITION REQUEST FORM (Internal Use Only)

This form must be submitted and approved by the CLTCC Chancellor PRIOR to posting a job announcement.

Position Description: Position Title: Division: dfdfdf Click here to enter text. Department: Position will report to (Supervisor): Click here to enter text. Click here to enter text. Job Description: Click here to enter text. Domical of Position: ☐ Alexandria ☐ Ferriday ☐ Huey P. Long ☐ Rod Brady ☐ Lamar Salter ☐ Oakdale ☐ WHN Avoyelles ☐ TBA Minimum Qualifications: Educational Background: Experience: Skills/Abilities: Certifications/Licenses:

Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Preferred Qualifications: Educational Background: Experience: Skills/Abilities: Certifications/Licenses:

Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Request to Post: ☐ New Position ☐ Permanent Replacement ☐ Interim Replacement ☐ Emergency/Temporary ☐ Existing Position ☐ Upgrade/Update

If replacement, name of the former employee and reason for replacement: Name: Click here to enter text. Reason: ☐ Resignation ☐ Retirement ☐ Termination

Date Established: Click here to enter text. Type of Position: ☐ Instructional ☐ Administrative ☐ Professional Suggested Posting Period: Beginning Date: Click here to enter a date. End Date: Click here to enter a date. Target Hire Date: Click here to enter a date.

Status: ☐ 9/10 Month ☐ 12 Month ☐ PT Temp

New/Replace Position Justification (Why is position needed?): Click here to enter text.

Work Schedule (IF different from the standard): [Ex: Monday, Wednesday, Friday 4:30 p.m. – 7:30p.m.]

Other/Additional Information: Click here to enter text. Requested by:

1 | P a g e Click here to enter text. Revised: 12/20/2013

Position Control Information: Proposed Annual Salary Range: Range Midpoint Salary: $Click here to enter text. to $Click here to enter text. $Click here to enter text. Proposed Date of Appointment: Funding Source: Click here to enter a date. ☐ State ☐Restricted ☐ Federal ☐Auxiliary ☐ Grant/Contract [specify below] Click here to enter text. Funding Term: ☐ Permanent ☐ Temporary - Years/Months Click here to enter text.

Request to Post Approvals: ☐ Approve ☐ Disapprove ☐ Approve ☐ Disapprove Senior Leadership Representative Vice Chancellor of Finance & Administration Date: Date: ☐ Approve ☐ Disapprove ☐ Approve ☐ Disapprove Director of Human Resources Chancellor Date: Date:

For Administrative Services & Human Resources Processing ONLY:

Budget Account # Click here to enter text. Page # Click here to enter text. Line # Click here to enter text. Amount $ Click here to enter text. New Position Refill Position:

☒ T O ☐ Non-T O ☐ Classified ☐ Unclassified ☐ T O ☐ Non-T O ☐ Classified ☐ Unclassified CUPA HR Click here to enter text. Year If Refilling Current Position – Request to Post and Hire CUPA Position No.: Click here to enter text. Previous Incumbent: Click here to enter text. CUPA Title: Click here to enter text. Salary at Termination: Click here to enter text. CUPA Page No.: Click here to enter text. (ATTACH PAGE) Position No.: Click here to enter text. CUPA Minimum: $ Click here to enter text. Date Position Vacated: Click here to enter a date. It is recommended that this position be ☐ Classified OR ☐ Unclassified, and we certify that it meets the teaching, professional and administrative officer designation required by the LCTCS Board and appropriate Civil Service rules. In addition, we will (have) follow(ed) the college’s established hiring policies and procedures and published equal employment opportunity guidelines.

Institutional representative signature certifies that a table of organization (T.O.) is available for the above- identified position.

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Request to Hire: Selected Candidate (attach resume and job description): Click here to enter text.

Request to Hire Approvals: Proposed Beginning Salary: Proposed Date of Appointment: $Click here to enter text. Click here to enter a date.

Title of Senior Leadership Representative: Click here to enter text.

Date: Signature

☐ Approve ☐ Disapprove ☐ Approve ☐ Disapprove Senior Leadership Representative Vice Chancellor of Finance & Administration Date: Date: ☐ Approve ☐ Disapprove ☐ Approve ☐ Disapprove Director of Human Resources Chancellor Date: Date:

Certification Based on the policies and procedures established by Central Louisiana Technical Community College (CLTCC), I acknowledge that job offers cannot be made nor can personnel actions be entered into Banner without prior approval from the Appointing Authority and/or Louisiana Community & Technical College System (LCTCS) Board. By signing below, I certify:  That the attached forms are true and accurate to the best of my knowledge, adequate funds are available to support the position and all have been completed within the guidelines set forth by both CLTCC and LCTCS;

 That adequate funding is available to support the position requested;

 That all supporting and/or required documentation is attached. FINAL APPROVAL:

Approved Beginning Salary: Approved Date of Appointment: $Click here to enter text. Click here to enter a date.

☐ Approve ☐ Disapprove

Date: Chancellor

3 | P a g e 4 | P a g e Instructions:

This form is to be completed by the hiring supervisor (person to whom the position will report) in consultation with their supervisor and Senior Leadership Representative. Please be mindful that, on average, the hiring process takes about three months --- Some hard to fill positions may take up to six months.

Position Description 1. Position Title: Enter the tile for the position you are requesting. 2. Division: Enter the Senior Level Office (i.e., Administrative Services, Student Affairs, Academic Affairs, Economic Development, Etc.) to which the position will belong. For Academic Affairs positions, also include the Dean Level Division (i.e., Technology Studies, Academic and Health Sciences, etc.) 3. Department: enter the Department (i.e., Practical Nursing, Library, Financial Aid, Admissions, Continuing Education, etc.) in which the position will be housed. 4. Position will report to (Supervisor): enter the title of the person to whom the position will report. Do not enter the person’s name. 5. Job Description: Please provide a general description of the responsibilities of the position, and specific listing of the major duties for which the position will be required to perform. This description will be used for the job announcement. 6. Minimum Qualifications: Please provide the MINIMUM education, experience, skills/abilities, and certifications/licenses requirements that a candidate MUST possess in order to be qualified for the position. Please consider any external standards and the goals of the College in making this determination about qualifications. 7. Preferred Qualifications: Please provide the PREFERRED educational, experience, skills/abilities, and certifications/licenses requirements that an ideal candidate should possess in order to be highly qualified for the position. Please consider any external standards and the goals of the College in making this determination about qualifications. Request to Post: 1. Select one of the choices: New Position, Permanent Replacement, Interim Replacement, Emergency/Temporary, Existing Position, Upgrade/Update 2. If replacement – name employee and their reason for leaving. 3. Type of position – Instructional is a faculty person (9-month, Adjunct, Hourly, etc.), Administrative is staff person. Professional is a first level or second level leadership person. 4. Suggested Posting Period: Let us know when you would like to begin and end the posting. 5. Target hire date: when are you looking to hire this person? 6. New/Replace Position Justification: Why is this position needed? 7. Work Schedule: Please list any non-standard work pattern. 8. Requested by: type and sign Position Control Information: 1. Proposed Annual Salary Range: Based on your research provide the range 2. Proposed beginning salary: What is the median starting salary this person with based on their qualifications. 3. Funding Source: State, Restricted, Federal, Auxiliary, Grant, etc. Request to Post Approvals: All signatures must be secured prior to posting of position. For Administrative Services & Human Resources Processing ONLY 1. Budget Account # - Page # - Line # 2. Once ALL signatures are secure for posting this position, additional information will be entered by Administrative Services & Human Resources. Request to Hire: 1. Upon completion of the interview process the finalist candidates will be submitted with ALL supporting documentation to the Senior Leadership Representative, Director of Human Resources and Vice Chancellor of Finance for final selection approval. 2. The Senior Leadership Representative, Director of Human Resources and Vice Chancellor of Finance will send all paperwork with supporting documentation to the Chancellor for final candidate selection and approval.

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