Fillable Position And Personnel Action Form (Page 2 of 2) in pdf

Position and Personnel Action Form

FOR HR OFFICE USE

Date or Y/N

Signature/Initials of HR Representative

☐Yes

☐No

NBAPOSN updated

☐Yes

☐No

Date HR Orientation Completed

Date Entered in Banner

Leave Category

Modified Adjusted Service Date

Copy to Budget Office

Copy to Leave Coordinator

Notes:

Instructions

Section I

6. (Separation) Check the box and the drop down menu that applies to this

–1. (Employment) Check the box and the drop down menu that

form. Effective Date – Enter the date for when the termination is in effect.

applies to this form. New Hire-Choose this action if the individual has never

Last Day Worked – Enter the date of the employee’s last day worked. Do not

worked at Fayetteville State University before. Rehire-Choose this action if the

use same Effective Date as Last Day worked if individuals do not want a break-

individual you are hiring worked at Fayetteville State University prior to this

in-service when taking over another position in the UNC system.

appointment in any capacity. Separations lasting longer than 12 months in

duration may require updated paperwork: including a background check.

7. (Other) Check the box and the drop down menu that applies to this form.

Supervisory Change-to change an employee’s supervisor.

2. (Change of Status) Check the box and the drop down menu that applies to

this form. Promotion-Choose this action if the employee’s classification is

Section II

– Personal Information-Fill out individual’s information

moving to a higher level. Demotion-Employee move to a lower position.

Transfer-Employee moved to a different department. The Hiring Department

should initiate the PPA to complete the Transfer transaction. Months of

Section III

- Add Hire Date/Contract Date-Anticipated date. Contract Date-

Service Change-contract months of service change.

Only applies to non-permanent employees. Classification-(Temporary)

employment is short in duration to address business needs. Temporary Cat I-

3. (Classification and Compensation) Check the box and the drop down menu

no eligible for benefits. Temporary employment Cat II- maybe eligible for

that applies to this form. Salary Adjustment-Choose this action for merit or

benefits. Appointment Type- (Fixed Term-EHRA) - Not eligible for tenure;

equity increase, additional duties, job change or reclassification. Temporary

appointment for a fixed period of time with no commitment regarding

Salary Adjustment-Used to pay an employee a higher rate or salary while

renewal. (Tenure Track-EHRA)-Designed to lead to promotion and permanent

assuming a temporary or interim assignment as well as when returning the

tenure upon demonstrated accomplishments in teaching, research, and

employee to his/her regular rate or salary upon completion of the temporary

service. (Time-Limited SHRA)- A time-limited appointment may be made to a

assignment. Establish New Position- Choose this action when requesting a

time-limited permanent position that has been established for a period of no

new position. Merit Increase-Choose this action when the individual receives

more than three years.

a merit increase. Reclassification-Choose this action when requesting a

position to be reallocated. Retention Salary Increase- To retain valued

Section IV

- Full-time or Part-time. The employee’s full time or part time

employees who have received a formal offer of employment from an

status. FLSA Designation-Choose either Exempt or Non-Exempt. Number of

institution other than Fayetteville State. Extra Duty-Choose this action when

Months-Provide the current number of months the individual is or will be

permanent employees work on tasks which are not in their position

working. Only add the proposed number of months if individual’s length of

description. Stipend-Use when individual works on a stipend.

employment changes. FTE Change-For HR Internal use only.

4. (Faculty) Check the box and the drop down menu that applies to this form.

Section V

- (Compensation) Effective Date-Date the compensation is

Academic Contract Revision-Choose this action if contract has just been

effective. No retroactive salaries for SHRA positions. Salary Increase- Only

revised. Adjunct-Choose this when Faculty is in an Adjunct position. Months

required for 15% or more increases. Will automatically calculate. Frequency-

of Service Change- contract months of service. Overload- used to compensate

Choose the appropriate frequency of pay. FOAP Charged- Salary can be split

added duties of a relatively short duration.

between different FOAPS. Percent of salary being charged to a specific

fund/org/acct combination. Valid percentages range from 1-100%. The total

5. (Leave of Absence) Check the box and the drop down menu that applies to

for all combinations must equal 100%.

this form. Leave without Pay- is a temporary non-pay, non-duty status granted

to an employee with supervisory approval. Leave with Pay- employee would

Section VI

-Write any additional comments or justifications.

be compensated for leave of absence. Benefits-employee will receive benefits

while on leave of absence. Without Benefits-employee will not receive

benefits while on leave. Type of leave-FMLA-employee leave type is covered

Section VII

-Obtain all signature before delivering to the human resources

under Family Medical Leave Act. Workers Compensation-employee leave is

office.

covered under Workers Compensation. STD-employee covered under Short

Term Disability. Effective Date-Enter the date for when the leave is in effect.

End Date-Enter the date for when the leave will end. Last Day Worked-Enter

the date of the employee’s last day worked.

Human Resources/Revised April 2016

Position And Personnel Action Form Page 2

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