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