REQUEST THAT THE POSITION TITLE ___ AS DESCRIBED BELOW

BE AUTHORIZED AS A VACANCY FOR ___

DEPARTMENT OR UNIT

SOURCE OF FUNDS

Replacement New Position

☐ Unclassified State

□ Civic Service □ Temporary

Faculty Grant-in-Aid

☐ Tenured

☐ Probationary (For faculty this is the same as tenure track) ☐ System Revenue

System Revenue

Agency Fund State

(Include rank (for faculty) and approximate salary; initiator of form must have prior approval of salary/salary range with the appropriate Vice-President, Provost and/or President. Salaries for classified positions must be approved through Human Resources).

Salary Range: ___ Previous incumbent (if replacement) ___

Approved

☐ Disapproved ___ ___

ORIGINATOR DATE

Approved Disapproved

DEPARTMENT HEAD

DATE HUMAN RESOURCES OFFICE ONLY Existing/Approved Position

FINANCE/BUDGET OFFICE ONLYFunds Available[F4] Yes ☐ No

Signature Date

Budget Number

HUMAN RESOURCES OFFICE ONLY Existing/Approved Position

☐ Yes ☐ No

Employee Class:

Job Class:

Verified By

Date

☐ Approved ☐ Disapproved ___

DIVISION VICE PRESIDENT DATE

□ Approved □ Disapproved □ Approved □ Disapproved DIVISION VICE PRESIDENT VICE PRESIDENT OF FINANCE AND ADMINISTRATION Page 43 of 218 PRESIDENT DATE

DATE

PRESIDENT

REVISED 8/8/18