Position and Appointment Requisition
To initiate recruitment for and confirm appointment for FTCE and TERM positions
PLEASE PRINT C
LEARLY
New
Revision (For revisions please complete Position Title, Dept, Reports to and Start Date, along with Employee Name, Employee # or SIN #,
and any changed information)
Replacement for (name and position # if applicable):
Section 1 - Position Information
Position Title:
Academic:
Administrative:
RFA (Tenure/Tenure
Affiliation
Assignment Type
Track)
OPSEU
FTCE
Position Number:
RFA (Librarians &
MAC
PYE
Counsellors)
Sr. Admin.
Term
RFA (LTF)
Department/School:
CUPE M&T
Temporary
Acad. Admin -
Associate RFA
Start Date (mm/dd/yyyy):
End Date (mm/dd/yyyy):
Grade:
Reports to (name and title):
Hours per Week:
Salary Rate (Annual):
Wage Rate (M&T):
Assignment Cost:
Equity Position? (RFA Only)
Yes
No
Equity Designation:
Section 2 – Employee Information
(Always provide name and SIN# or Employee#. Complete other sections if new hire or changed information)
New Hire
Rehire
Promotion
Transfer
Reclassification
Extension
Revision
Hours per Week:
Salary Rate:
Wage Rate (M&T):
Monthly Stipend (RFA):
Monthly Burgeoning Discipline
Allowance (RFA):
Prefix:
Last Name:
First Name:
Middle Name or Initial:
Mr.
Ms.
Dr.
Other:
Sex:
Employee Number:
*Social Insurance Number(SIN):
SIN Expiry Date (if applicable):
Work Permit (copy attached):
F
Yes
To be supplied
M
*If SIN# begins with “9” a copy of a valid WORK PERMIT and SIN card must be attached.
Date of Birth: (mm/dd/yyyy):
Home Address (include postal code):
Home Phone Number:
Other Phone Number:
Mailing (T4) Address if different from above:
Transcripts
(Mandatory for RFA):
Original Attached?
Yes
No, to be forwarded
Section 3 – Department/Faculty Authorization
Distribution Code:
Split:
Effective Date:
[__ ][__ __ ][__ __ __ __ __ ][__ __ __ __ ][__ __ __ __ ][__ __ __ __ __ __ __ __ __ ][__ __ __ ] $____________ %___________ ___________________
[__ ][__ __ ][__ __ __ __ __ ][__ __ __ __ ][__ __ __ __ ][__ __ __ __ __ __ __ __ __ ][__ __ __ ] $____________ %___________ ___________________
[__ ][__ __ ][__ __ __ __ __ ][__ __ __ __ ][__ __ __ __ ][__ __ __ __ __ __ __ __ __ ][__ __ __ ] $____________ %___________ ___________________
I confirm that this position/appointment is consistent with applicable legislative requirements, Ryerson policies and Collective Agreements, including the
Conflict of Interest policy and Employment of Relatives policy.
Department Authorized Signature:_________________________________ Name:_________________________________ Date:_____________________
Dean/Sr. Director (if required)
Name:
Date:
Section 4 – Other Authorizations (if required)
Vice Provost Faculty Affairs (all RFA):_____________________________Name:___________________________________ Date:______________________
Financial Services (all RFA):___________________________________ Name:___________________________________ Date:_____________________
(FUNDS CHECK)
ORS/OIA (if required)
Name:
Date:
Distribution: After authorization(s) provided and local copies made, forward original to Human Resources
01/08/08