Type of Action:
(check at least one)
New Appointment
Promotion
Demotion
Reclassification
Reassignment
Pay Increase
Funding Change
Other
A&P APPOINTMENT INFORMATION FORM
1. Name:
5. Position #:
2. UIN:
6. a. Annual Base Salary:
b. Admin. Stipend (if any):
c. Total Annual Salary:
3. Start Date:
End Date (if grant or aux. funded)::
7. Department Name:
4. Class Code:
Classification Title:
8. Banner Index #:
Fund #
Org. #
8a. Funding Source:
9. Working Title (if applicable):
10: Initial Duty Statement to be Included in Letter
(Please fill in the text box. Information can be taken from the Position Vacancy Announcement)
11. Special Conditions to be Included in Employment Contract:
12. FTE:
13. Moving Expenses (if applicable):
$
Maximum
14. Other Comments:
Authorization and Routing Key (all signatures should be obtained before forms are received in HR):
1.
Dean/Director/Department Head:
Date:
2.
Division Vice President:
Date:
3.
Equal Opportunity Officer:
Date:
4.
University Budget Office:
Date:
AND/OR
Research & Sponsored Programs:
Date:
(based on funding)
5.
Human Resources
Rev: 02/2011
Date: