Hiring /Change Approval-AP, Faculty and Hourly

Dean/Appt Officer Job Title: ______Department: ______Position Number: (If known) Division/College: Position Type: _____ EAP _____ PSS ____ DPS _____ FAC _____MGS FTE: Faculty/AP: Hourly: 12 Month _____1.0 FTE (40 hrs per week) 12 Month _____1.0 FTE (40 hrs per week) _____Less than 1.0 FTE,_____hrs per week _____Less than 1.0 FTE,_____hrs per week _____wks per year Academic Year _____1.0 FTE (40 hrs per week) Academic Year _____1.0 FTE (40 hrs per week) _____Less than 1.0 FTE,_____hrs per week _____Less than 1.0 FTE,_____hrs per week _____wks per year Other, specify______Other, specify______Replacement Position: ______Replacement For:______New Position: ______or Change: ______or Promotion (Attach Promotion Justification Form)______Comments on Change: ______Reason for Replacement: Contact Person: ______Retirement _____ Other _____ Resignation Explain ______Date Vacant/Effective Date: ______Proposed Salary: ______FOAP # and %:______How will the position be funded: ______Is this position or any part of this position grant funded?______If so, what is the grant expiration date?______AP Positions Only – Who will approve the vacation usage and complete performance assessment for this position? ______Comments: ______Approval: ______Date: ______

HR Employee Class: ______Position Class: ______District/Div: ______Employee Group: ______Department: ______Department Name: ______Job Location:______Hourly Only: Salary Table: ______Salary Grade: ______EEO Position Group: ______SOC______Comments:______Prevailing Wage Approval: ______Date: ______

Budget Position #: ______Labor Distribution FOAP %: ______Account Code:______Labor Distribution FOAP %: ______Effective Date:______Comments: ______Approval: ______Date: ______

Vice President Approval: ______Date: ______Comments: ______

Affirmative Action Approval: ______Date: ______Comments: ______

Copies: Dean/Appointing Officer Vice President Budget Academic Budget updated 03/14