Position Approval Form - Required For Full-Time Or Part-Time Faculty & Staff

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P
A
F
OSITION
PPROVAL
ORM
P
N
________________
Position Approval Log#______________
OSITION
UMBER
Required for full-time or part-time faculty & staff (exempt/non-exempt positions being filled for duration of nine (9) months or longer.)
S
I: P
L
D
I
ECTION
OSITION AND
ABOR
ISTRIBUTION
NFORMATION
__________________________________ _____________________________________ _______________
Position Title
Department
Building
Room
_____________________________________
______________________
__________________________
Hours/Day
Hours/Week
Month/Year
Proposed Start Date
End date (If fixed term or temporary)
__________________________________ _____________________________________
Hiring Supervisor’s Name and Title
Contact Person’s Name, Phone Number, Email
Regular
Full Time
Part Time
Addition to Staff
Replacement
Fixed Term
Faculty Tenured/Tenured track
Reappointment with salary action
Temporary
Faculty Non-Tenure Track
________________________
Other
________________________________________________________
If replacement, list incumbent’s name and title:
_________________
Proposed Pay Range:
per (bone): Year
Academic Year
Hourly
Contract Period
________
______
__________
_________
Budgeted $
FTE
Home Org
Pooled Position
Pooled FTE total ____________
Position #
Fund
Orgn
Percent
Position #
Fund
Orgn
Percent
1.
2.
3.
4.
Academic Start-up Funding Amount For One Year: __________________ (Attach Provost Startup Form)
S
II: R
I
ECTION
ECRUITING
NFORMATION
FOAPA for Advertising expenses: __________
_________
__________
__________
__________
Fund
Orgn.
Acct.
Program
Activity
Advertising will be placed by:
Originating Department
Human Resources
Advertisement Style:
Display
In-Column
__________________________________
Proposed Deadline:
(for accepting applications)
____________________________________________________
Proposed advertisement placement (e.g. papers, journals, etc.).
__________________________________________________________________________________________
________________________
List specific recruitment strategies for minorities, females, disabled persons, or Vietnam Era veterans:
__________________________________________________________________________________________
Deadline for inte rnal posting is Tuesday to appear in the upcoming CJO. All jobs will be posted for a minimum of one week.
S
III: R
S
ECTION
EQUIRED
IGNATURES
By signing this requisition, you are indicating:
Ø
The position is authorized and a budget has been allocated for the position.
______________________________________
Ø
The hiring supervisor is aware of Rensselaer’s affirmative action responsibilities.
Originator
Date
__________________________
___________________________
_______________________________
Dept. Head/Chair/Director
Date
Dean of School
Date
Vice President/Provost
Date
__________________________
_________________________________
______________________________________
Budget Approval
Date
Human Resources Approval
Date
President
Date
S
IV: C
ECTION
ANDIDATE SELECTION
_______________________
________________
_____________________
_______________________________
Selected Candidate: Name
Salary Offered
Revised Position Budget
Source of Additional Position Funds
Academic Startup Package________________(Attach Provost Startup Form) Provost Approval
Budget Approval
_______________________
________________
_____________________
_______________________________
Selected Candidate: Name
Salary Offered
Revised Position Budget
Source of Additional Position Funds
Academic Startup Package________________(Attach Provost Startup Form) Provost Approval
Budget Approval
_______________________
________________
_____________________
_______________________________
Selected Candidate: Name
Salary Offered
Revised Position Budget
Source of Additional Position Funds
Academic Startup Package________________(Attach Provost Startup Form) Provost Approval
Budget Approval

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