REQUEST TO FILL, REFILL, EXTEND OR CHANGE THE FTE OF A POST Please complete this form for any posts funded through a school cost code Recruitment guidance is available at: http://www.sussex.ac.uk/humanresources/1-2-14.html SECTIONS A-E MUST BE COMPLETED BEFORE THE POST CAN BE SUBMITTED TO THE DEAN FOR SIGNATURE A POST DETAILS POST TITLE:………………………………………………………………………………………………………………………………………… (tick box) NEW POST OR REPLACEMENT POST FOR (insert name)……………………………………………………………………………… OR EXTENSION OR FTE CHANGE FOR (insert name)..…………………………………………………………………… FUNDING (tick box) CORE EXTERNAL OTHER (BSMS Finance Manager to provide further details in section ‘E’) DIVISION: LINE MANAGER: % TIME WORKED / HOURS PER WEEK: GRADE AND SALARY RANGE: EFFECTIVE DATE: (Or preferred/likely start date) B MAIN WORK LOCATION BUILDING: POST TO BE ADVERTISED IN: Publication(s): END DATE: (If fixed term contract or temporary FTE change) LOCATION CONFIRMED: (Medical SIGNATURE:………………………………………. School ROOM: Secretary or Deputy) NAME:………………………………………………. DRAFT ADVERT & FURTHER PARTICULARS (Attach job description and person specification and email these to the HR Assistant – for new non-generic posts the job description/person specification should be graded by the HR Adviser team prior to completion of this form) Advert text (tick box) Further Particulars (tick box) Website(s): (U.Sussex, U.Brighton & BSMS websites are automatic for all posts + Jobs.ac.uk for all academic posts unless otherwise specified PROVISIONAL INTERVIEW DATE ………………………………………. DOES THE NATURE OF THIS POST REQUIRE THE SUCCESSFUL CANDIDATE TO COMPLETE A DISCLOSURE AND BARRING SERVICE (DBS) CHECK? YES / NO Please confirm details of work involved, and client group (adults or children, or both) so that the correct level DBS check for the role is undertaken by Human Resources: C PROVIDE DETAILS OF THE STRATEGIC CASE FOR THE POST (include (a) the academic/administrative rationale; (b) fit with the Medical School’s strategic priorities; (c) details of considerations given to impact on budget and impact on overall staffing profile: D SHORT LISTING & INTERVIEW PANEL COMPOSITION: Guidance available at http://www.sussex.ac.uk/humanresources/1-2-14.html) Please note: wherever possible selection panels should have a gender balance and panel members must have completed recruitment and selection training INTERVIEW PANEL: (This should include members of the short listing panel). (Dean chairs all interview panels for academic posts) SHORT LISTING PANEL: (insert names): Name If candidates are required to give a presentation please indicate the proposed topic, format and duration: …………………………………………………………………….. Gender Has attended UoS Recruitment and Selection training Y/N Chair: …………………………………………………………………….. …………………………………………………………………….. …………………………………………………………………….. Email address to send Powerpoint presentations to in advance of interview (if applicable): ………………………………………………………………………… E BSMS FINANCE MANAGER (All Posts): Advertising code:…………………………………….. Interview expenses code: ………………………….. Post appointment code: Code FINANCIAL IMPLICATIONS Year 1 Year 2 Year 3 % Year 4 Financial implications built into forecast? YES/NO – please state Total cost savings generated as a result of this vacancy (if applicable) SIGNATURE: PRINT NAME: DATE: CONTACT TEL: NHS TRUST FINANCE MANAGER COMMENTS (All post with an element of NHS funding) (If applicable) I am in agreement of the funding for this post as outlined above, and confirm that …………………………………………NHS Trust will fund the agreed percentage for this post. SIGNATURE:………………………………..PRINT NAME:………………………………………………..DATE:…… ………… F BSMS DEAN / BUDGET HOLDER TO COMMENT: BSMS DEAN SIGNATURE: DATE: PRINT NAME: CONTACT TEL: G UNIVERSITY OF SUSSEX PRO / VICE-CHANCELLOR COMMENTS (All Posts): On behalf of the University of Sussex I am in agreement with the proposal outlined in sections A and H of this form SIGNATURE: DATE: PRINT NAME: H CONTACT TEL: UNIVERSITY OF BRIGHTON DEPUTY / VICE-CHANCELLOR (OR NOMINEE) COMMENTS: (All Posts) On behalf of the University of Brighton I am in agreement with the proposal outlined in sections A and H of this form. SIGNATURE: DATE: PRINT NAME: CONTACT TEL: I NHS TRUST APPROVED SIGNATORY COMMENTS: (All Clinical Academic Posts) On behalf of outlined in sections A and H of this form. (insert name of Trust) I am in agreement with the proposal Regional Advisor approval of further particulars attached (tick box) Relevant Royal College approval of further particulars attached (only required for Clinical Academic posts) (tick box) Copy of further particulars (inclusive of person specification) sent to Public Health England on ………… (tick box) SIGNATURE: JOB TITLE: PRINT NAME: DATE: J CONTACT TEL: PUBLIC HEALTH ENGLAND COMMENTS: (On specified Clinical Academic Posts) Please forward any comments you may have, for consideration, direct to the Dean of BSMS, at your earliest opportunity.