NOTES FINAL – 8-5-09 AGREEMENT between YOUNGSTOWN STATE UNIVERSITY and YOUNGSTOWN STATE UNIVERSITY ASSOCIATION OF PROFESSIONAL/ADMINISTRATIVE STAFF Effective July 1, 2009 through June 30, 2012 136 APPENDIX L AUTHORIZATION FOR PAYROLL DEDUCTION YOUNGSTOWN STATE UNIVERSITY Authorization for Payroll Deduction Employee Name: _______________________________________________ Last First Middle _____ New Authorization Effective Date______________ _____ Change Amount per pay $___________ _____ Cancellation Organization payable to: _________________________________________ I hereby authorize the University to make this deduction from my earnings. Date ____________ Employee Signature__________________________ Soc. Sec. No. _______________________________ 135 APPENDIX K EMPLOYEE AUTHORIZATION TO CHANGE PERSONAL DATA TABLE OF CONTENTS Article Page EMPLOYEE AUTHORIZATION TO CHANGE PERSONAL DATA 1 AGREEMENT and RECOGNITION............................................1 A 2 SCOPE OF UNIT ..........................................................................1 PLEASE ENTER DATA CURRENTLY ON FILE: 3 TERM OF AGREEMENT.............................................................2 4 SALARIES ....................................................................................3 _____________________________________________________________________ Last Name First Name Middle Name 5 INSURANCE BENEFITS .............................................................8 6 STAFF DEVELOPMENT LEAVES/STAFF _____________________________________________________________________ Department Phone/Ext. Number Social Security or Patron ID Number DEVELOPMENT........................................................................13 PLEASE CHECK ALL THAT APPLY 7 LEAVES......................................................................................15 8 VACATION ................................................................................33 Current Employee Full-Time Classified Staff Professional/Administrative 9 GRIEVANCE PROCEDURE......................................................36 Previous Employee Part-Time Faculty 10 CONTINUITY OF EMPLOYMENT ..........................................40 TYPE OF CHANGE: Name Home Address Mailing Address Phone Emergency 11 TERMINATION FOR JUST CAUSE.........................................41 Contact 12 LAYOFF AND RECALL............................................................44 NEW INFORMATION (Provide only that which has changed) 13 VACANCIES, TRANSFERS, SEARCHES AND NEW NAME (May require a legal document) PROMOTIONS ...........................................................................46 Salutation: Mr. Mrs. Ms. Dr. 14 PART-TIME STAFF ...................................................................55 Last Name: 15 POSITION AUDITS AND APPEALS........................................57 First Name: 16 WORKLOAD..............................................................................58 Middle Name: 17 HOLIDAYS.................................................................................61 Reason for Name Change: Marriage Divorce Legal Action 18 EVALUATION ...........................................................................62 Effective Date: 19 PERSONNEL FILES...................................................................65 20 RETIREMENT ............................................................................68 NEW ADDRESS and/or PHONE NUMBER Street Address: 21 RETAINED RIGHTS ..................................................................69 22 ASSOCIATION RIGHTS ...........................................................71 Apt. # : 23 UNIVERSITY-ASSOCIATION RELATIONS...........................74 City: 24 SEPARABILITY.........................................................................77 State: 25 DUES DEDUCTION AND MEMBERSHIP ..............................78 Zip Code: 26 CONTRACTING.........................................................................80 Phone Number: Home ( ) Cell ( ) 27 HEALTH AND SAFETY............................................................81 Effective Date: 28 MISCELLANEOUS ....................................................................83 NEW EMERGENCY CONTACT 29 NON-DISCRIMINATION ..........................................................86 Name: Relationship : SIGNATURE PAGE.............................................................................88 Complete Address: APPENDIX Phone: Home ( ) Work ( ) Cell ( ) A POSITIONS INCLUDED IN THE BARGAINING UNIT .........89 NOTE: Employees with health care coverage, whose personal data has changed, must also complete a separate B POSITIONS EXCLUDED FROM THE BARGAINING form for the insurance company. Please call YSU’s Benefits Office at (330) 941-3748 to obtain a form. UNIT............................................................................................94 EMPLOYEE SIGNATURE (Please print, sign and send completed form to Human Resources for processing and distribution) C SALARY RANGES ..................................................................103 D SALARY RANGE ASSIGNMENTS........................................109 _____________________________________________________________________ Signature (Required) Date E GRIEVANCE FORM ................................................................113 F EVALUATION FORM .............................................................116 FOR HR USE (ORIGINAL: Human Resources -COPIES: Payroll, Employee’s Department, Fringe Benefits) REVISED HR 07/09 Date Received___________________ Date Processed _____________________ By ____________________ 134 i H EMERGENCY SICK LEAVE BANK – Application for APPENDIX J Membership ...............................................................................131 YSU-APAS I EMERGENCY SICK LEAVE BANK – Application for STAFF PROFESSIONAL DEVELOPMENT APPLICATION Use of ESLB Days.....................................................................132 J STAFF PROFESSIONAL DEVELOPMENT Name: APPLICATION .........................................................................133 K EMPLOYEE AUTHORIZATION TO CHANGE Department: PERSONAL DATA...................................................................134 L AUTHORIZATION FOR PAYROLL DEDUCTION...............135 Date: Staff Professional Development Opportunity: Location: Date(s): Costs of Attendance Fees: $ Travel: $ Meals: $ Lodging: $ Total Request: $ Requested By: ___________________ Date Signature of Bargaining Unit Member ______________________________ Date Signature of Immediate Supervisor Approve Disapprove ______________________________ Date Signature of Account Authority Approve Disapprove Amount Approved: $___________________ ii 133 APPENDIX I ARTICLE 1 YSU-APAS AGREEMENT and RECOGNITION EMERGENCY SICK LEAVE BANK 1.1: This is an Agreement between Youngstown State University Application for Use of ESLB Days (hereinafter referred to as the University or YSU or the Administration) and the Youngstown State University Association of Professional/ TO: Chief Human Resources Officer Administrative Staff, an affiliate of the National Education Association and the Ohio Education Association (hereinafter referred to as the YSU-APAS I wish to apply for day(s) from the YSU-APAS Emergency Sick or the Association). Leave Bank, to be used for my illness/injury or because of an illness/injury in my immediate family, as follows: 1.2: The purpose of this Agreement is to set forth the understanding Estimated duration of leave: between the parties as to the terms and conditions of employment of members of the bargaining unit specified herein. The parties reaffirm their Explanation of illness/injury: mutual belief in and acceptance of good faith collective bargaining as a means of pursuing their mutual goals of excellence in education and academic standards. 1.3: This Agreement shall constitute the sole and entire Agreement between the parties with respect to matters set forth herein. All personnel policies or practices in conflict with the provisions hereof are discontinued. NAME (printed): 1.4: Where this Agreement makes no specification about a matter, the Signature: DATE: University and the Union are subject to all applicable federal, state or local laws or ordinances pertaining to the wages, hours, and terms and conditions of employment for public employees, as specified in the Federal and Ohio Attached is the physician’s statement regarding said illness/injury. Revised Codes. 1.5: Recognition: The University hereby recognizes the Association as the exclusive representative of the members of the bargaining unit defined within Article 2 of this Agreement, in accord with Ohio Revised Code TO: Chief Human Resources Officer 4117. The above ESLB member has been approved by the ESLB Committee to use Day(s) from the YSU-APAS ESLB. ARTICLE 2 SCOPE OF UNIT Signed (Chair, ESLB Committee): 2.1: The bargaining unit shall consist of those employees of the Date: University serving in positions in the bargaining unit certified by the Ohio cc: Applicant State Employment Relations Board (hereinafter SERB) in Case No. 90- ESLB Committee REP-12-0318 on January 16, 1991 and year 2009 SERB Case Executive Director, Human Resources No.______________, as subsequently amended by order of the State YSU-APAS President Employment Relations Board. The positions included in the bargaining unit are listed on Appendix A to this Agreement. 132 1 2.2: Excluded from the bargaining unit shall be all other employees of APPENDIX H the University, all students (other than bargaining unit members enrolled in YSU-APAS