Request For Classified Personnel Form - District Ojai Unified School
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2OJAI UNIFIED SCHOOL DISTRICT
OJAI UNIFIED SCHOOL DISTRICT
REQUEST FOR CLASSIFIED PERSONNEL
REQUEST FOR CLASSIFIED PERSONNEL
FROM:
FROM:
Site/Department:
Date
Position Classification:
Vacancy
Substitute______ Extra Help______ Increase in Hours (see below) ______ Other__
Department/School Site to be assigned: _____________________________________
Dates of assignment:
Beginning Date:
Assignment End Date:
Total hours per day:______ Time:_______ AM / PM to ______AM / PM Any variation in schedule?
Days of the week: Monday Tuesday
Wednesday
Thursday
Friday
ALL (Circle days to work)
Indicate any variations in starting/ending times
If a replacement, employee being replaced (Name):________________________________________________
Position funded by:________________________Is this funding a change from previous assignment? Yes / No
Comments
:
Employees' Name:__
Effective Date:
Current hours per day:
Revised hours per day:
________
________
Requestor’s Signature
Date
TO BE COMPLETED BY CLASSIFIED PERSONNEL ONLY:
Employee: _____
Effective Date:
Status:
Limited Term
Probationary
Permanent
Probationary/Promotional
Substitute
If contracted employee: Calendar Days: ____ Holidays: ____Vacation:_____Total Days:______Service Year:_____
COMMENTS:_______________________________________________________________________________________________
CURRENT
REVISED
CURRENT
REVISED
Classification
Range/Step
Loc/Dept
Hours/day
.
Salary
Benefits: No changes Changes Vision _______ Dental _________ Life _________ Medical________
Leave Accounting:
Sick Leave:
Personal Business:
Personal Necessit:y: ________
TO BE COMPLETED BY BUSINESS SERVICES ONLY:
Position Control #
Account Code(s):
Budget Approval:
_______________________________________________________________ _______%
_______________________________________________________________ _______%
Accountant/Director, Fiscal Services
_______________________________________________________________ _______%
Date
FINAL APPROVALS:
Coordinator, Classified Personnel:
Date:
Director, Fiscal Services:
Date:
Assistant Superintendent:
Date:
Date of Board:________ Date of Commission:_________ c: Principal/Supervisor/Employee
For: Reduction/Elimination Process Only
CSEA Negotiator___________________________________________________________DATE__________________________
Revised 4-25-16
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Parent category: Business