Job Review Questionnaire
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1
2JOB REVIEW QUESTIONNAIRE
Upon Completion, submit this form to Area Personnel Office
Do not write in this space.
N.C.
Date Received
JRQ #
Class Title
Class #
Schedule/Range/BU
Monthly Min-Max
New Probationary Period: Yes
No
NA
Notice #
New Starting Date in Class: Yes
No
NA
(NA if Temporary Job)
Effective Date
If reclassified, is incumbent certifiable?
Approved for:
Date
Yes
No
Notice
Letter
Employee: Complete all sections below, sign and forward to your supervisor.
Empl ID
Name (Last, First, Middle)
Telephone Number
Department/Entity
Campus Mailing Address
Fund & DeptID (Combo Code)
Present Class Title
Class Number
BU Code
Student Employee
Yes
No
Requested Class Title
Class Number
BU Code
Temporary Position
Yes
No
Please use the space below to describe any changes in your tasks, duties, and/or responsibilities which led you to file this
questionnaire.
If you supervise, please check all responsibilities for which you have complete authority
hiring
firing
discipline
performance evaluation
assignment of work
adjustment of grievances
training
staff planning
improvement of work methods
Date ___/___/_____ Signature__________________________________________________________________
Form # CS-PS 7 Rev 8/85
Supervisor: Please attach an organizational chart of your unit and identify this position.
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Parent category: Business