Umd Academic Temp/casual (Shell) Appointment Personnel Action Form
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2UMD Academic Temp/Casual (Shell) Appointment Personnel Action Form
* To be used for Academic (but not GA) appointments that are less than 9 months (regardless of the percent time of the appointment)
Ready for "Prepare to Hire" Job Opening#: ______________
PERSONAL DATA
Name:________________________________________________
Empl ID #: ______________
Empl Rcd #: _____
(Required on all but new hires)
Last, First, Middle
(legal name as appears on Social Security card)
ACTION/REASON
Effective Date
Action
Reason
1. _______________
___________________
_____________________________________
2. _______________
___________________
_____________________________________
3. _______________
___________________
_____________________________________
JOB DATA
Work Location
Job Indicator:
Pri Job
Position #:______________ Dept ID:_________
Expected Job End Date: ___________
Sec Job
Job Information
Empl Class:
_______________________________________
(use drop down)
Job Code: _________
Standard hours: _______
Percent Time: 0.00
Faculty only:
8.9 Appt Type: ____
8.9 Appt Term: ____
Semester Type:
Fall
Spring
Faculty Union Code:
I1/JDN Not eligible
I2/JDE UEA eligible
UEA Conversion:
Contact Hours: _______
Conversion FTE: _______
Payroll
Pay Group: PLH (Under 9 months, short term)
No
Employee Type: Salaried
Eligible for vac:
Compensation:
Components of Pay:
Compensation Frequency:
Comp Rate Freq.
Rate Code
Comp Rate
B
ASGN
Annual
1.
(Leave Blank)
Additional Pay Panel
If needed, Job Data Override Details
Earnings
Dept
Earn Code
End Date
Hours
Hourly Rate
Position#
Job Code
Eff Date
1.
2.
3.
4.
5.
6.
If needed, Combo Code Override:
General Comments:
HR&EO Use Only:
Prepared By:
Date:
Phone#:
HRMS Entry:
Authorized By:
Date:
HRMS Check:
Form Last Updated 3/4/16
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