Please check one:
Employee Name:
Department:
School or Division:
POSITION EVALUATION QUESTIONNAIRE
New
Revised
Date:
Position Title:
Position Code:
Supervisor Name/Title:
The purpose of this form is to aid in describing the position, not the current incumbent, in terms of its
duties, responsibilities, and other requirements. Please complete the form carefully and thoroughly.
State the job’s main duties and responsibilities, as you understand them. Infrequent activities should
not be included on the questionnaire, unless those activities are a requirement of the job. Should any
questions arise, please contact Human Resources.
A. GENERAL PURPOSE OF JOB – Briefly describe the job’s primary purpose or contribution to the
department or organization.
B. Please describe the essential duties and responsibilities that are part of the job at which more than 5%
of time is spent. Provide as much detail as necessary to give an accurate depiction of the job. Next to
each duty or responsibility, please indicate the approximate percentage of time spent performing each
duty. These percentages should total 100%. Note: Duties and responsibilities are functions of the
job and should not reflect the special talents or performance of an employee.
Please also indicate, in the spaces provided, if the duty/responsibility is considered standardized or
non-standardized and the frequency associated with the duty/responsibility.
Standardized (S) duties/responsibilities typically have an identifiable set of work steps, which are
used to complete the duties/responsibilities that are regularly performed and the frequency (daily,
weekly, monthly, etc.) with which they are performed.
Non-standardized (NS) duties/responsibilities do not have an identifiable accepted set of work steps or
established policies and procedures on a regular basis. Please describe those activities and the
frequency (daily, weekly, monthly, etc.) with which to complete those types of activities (tasks that
require you to use your own judgment):
Essential Duty or Responsibility
% of Time
S or NS
Frequency
1.
2.
3.
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4.
5.
6.
7.
8.
9.
10.
11.
C. EDUCATION – Please indicate, in the space provided, the education required to perform the
responsibilities of this job. This should coincide with the years of experience listed on the job
description and should not be based on the education level achieved by the current incumbent.
Education Required:
If a degree/discipline is required, please describe below why it is necessary:
Comments, and/or other specialized training:
D. WORK EXPERIENCE - Please indicate the minimum number of years of relevant work experience
the average individual must have to perform the job. Again, this is not necessarily equivalent to the
number of years of relevant experience that the current incumbent has in the job, but the number of
years of work experience required to proficiently perform the job.
Minimum total years of experience required to perform the job:
Explanation:
E. COMPLEXITY OF THE JOB – Complexity of the job includes the latitude with which
the employee has the ability to make decisions along with the tools available to the
employee that are relevant to the performance of the tasks/responsibilities.
1. What types of sources are or will be used to complete the duties/responsibilities of this job? (i.e.
policies and procedures, past practice, manuals, supervisor, other co-workers).
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2. Are there established policies and procedures the employee is required to follow? Please explain.
3. Does the employee have the ability to modify policies and procedures without supervisor approval?
Please explain.
F. DECISION MAKING– Please describe decisions made by the individual in this role.
1. List the types of decisions, frequency (daily, weekly, monthly, etc.) and who is affected by these
decisions (employee, students, department, entire university, etc.).
Types of Decisions
Frequency
Affected by
Decisions
1.
2.
3.
4.
5.
6.
7.
8.
2. Please give examples of duties/responsibilities for which the employee will have full decisionmaking authority to implement (approval of others not required). For example, what kinds of
decisions can he/she make in this job that does not require the approval of a supervisor?
3. Is the employee in this job responsible for the decisions of others? If so, please explain.
G. IMPACT OF DECISIONS/ERRORS– Please answer the following questions.
1. What types of problems could occur from errors made in the course of work? (i.e. loss of time or
money, inconvenience to other employees, inaccurate reports)
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2. How quickly would errors in the employee’s work be detected? (i.e. errors found with hours, days,
months, years?)
3. Do errors impact the department, multiple departments/colleges or the entire university?
H. CONTACTS – Describe the purpose and frequency (daily, weekly, monthly, etc.) of any recurring
contacts the individual in this job is required to have with others both within and outside the immediate
work group. This could include staff, students, outside vendors, etc.
I. TECHNOLOGICAL PROFICIENCY – Please describe the various software, hardware and
equipment that is required to perform this job. Also include if the technology required for this job is
basic, proficient or expert level.
J. SUPERVISION EXERCISED - Please explain, to what extent, the employee in this job may have
coordination of work or direct supervision of staff or students within the department/college.
K. CONFIDENTIAL INFORMATION
Please describe the types of confidential and/or restricted information that is handled with this job
(e.g., financial reports, salary data, legal issues, complaints, collective bargaining information, and
student issues). In addition, please describe the type of access this job has/will have (Restricted: need
supervisor approval to access or Unrestricted: access without approval) and how frequently the
confidential information is handled.
Types of Information
Type of Access
Frequency
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L. WORKING CONDITIONS – Please identify the exposure to conditions which tend to be hazardous,
adverse, or undesirable. Hazards include danger of injury or disease from electricity, explosives,
moving machinery, toxic or dangerous substances, infectious materials, falls, and/or dangerous
objects. Also list the frequency to exposure.
M. ADDITIONAL JOB INFORMATION- Please use the space provided below to include any elements
of the duties/responsibilities performed by the employee in this job that are not included in this
questionnaire:
Employee Signature (if there is a current incumbent)*
Date
Supervisor’s Signature*
Date
Department Head’s Signature*
Date
*A typed signature and date is acceptable.
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