Appointment of Research Fellow and/or
Counselor Intern
INSTRUCTIONS: Please refer to the attached guidelines for instructions for completing this form.
Date:
Form completed by:
Phone:
Appointment
Position Title:
2436 (Post-Masters Counselor Intern) – Unit 3
2437 (Pre-Doctoral Counselor Intern) - Unit 3
2338 (Post-Doctoral Counselor Intern/Fellow) – Unit 3
2351 (Research Fellow) - E99
Start Date:
End Date:
PeopleSoft Position Number:
Payroll Unit Number:
Dept. Number:
Dept. Name:
Personnel Action
Employee Name:
Monthly Full-time Base Rate of Pay: $
Employee ID:
Employee Record:
Time Base:
%
Monthly Base Rate of Pay is the rate that would be paid if the individual worked a 100% Time Base (1.0) per
week.
(Enter Time Base Percent as a whole number,
between 2 and 100. 2=2%, 100=100%. Value
entered must be divisible by 2 or 5.
Distribution of Labor Cost
Account
Fund
Finance Dept. ID
Project/Grant
% Applied
601100
601100
601100
601100
Program/Class/Comments:
Financial
Services Use
Only
Department
Pool
Position
Appointment
Financial Services Director: _____________________________________________
Unit Approval
Director/Dept. Chair/Appropriate Administrator:
_________________________________________________________________________
Date:
________________
Principal Investigator, if applicable: _______________________________________
Date:
________________
Date:
________________
Administrative Approval
Vice President/Dean/Dept. Chair/Director:
_____________________________________________________________________
Faculty Affairs
Copy sent to Financial Services on (date):______________________
Approved and Keyed into PeopleSoft by:
Date:
A copy of this document will be filed in the faculty member’s Personnel Action File.
Faculty Affairs (10/2014)
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Guidelines for Completing
Appointment of Research Fellow and/or
Counselor Intern Form
Counselor Intern Overview: The Counselor Intern Series is comprised of three classifications: Post-Masters Counselor Intern,
Pre-Doctoral Counselor Intern, and Post-Doctoral Counselor Intern/Fellow. This series is designed for incumbents who need to
complete supervised professional experience (SPE) prior to licensing after completing the following levels of
preparation:
Post-Masters Counselor Intern - as part of meeting post-master’s requirements after completing an
accredited masters level program in counseling, marriage and family therapy or social work; or
Pre-Doctoral Counselor Intern - as part of meeting pre-doctoral requirements for receiving a degree in
an accredited doctorate level behavioral sciences, counseling, or specified related academic field, or
psychology program; or,
Post-Doctoral Counselor Intern/Fellow - as part of meeting post-doctoral requirements after receiving a
degree in an accredited doctorate level program in behavioral sciences, counseling, or a specific related
academic field, or psychological counseling.
Typically, incumbents are part of a formal training program. Under supervision, as outlined by the State of
California Board of Psychology or Board of Behavioral Sciences, Counselor Interns provide a range of
psychological counseling services offered by the University, for which they are qualified, including intake and
clinical assessment, individual, group, couple and family counseling, outreach and consultation, psychological
testing, training and research, and by those qualified, crisis intervention.
Permanent status cannot be achieved in these classifications. Appointments are expected to be for a maximum
of 12 months. In cases where the appointment is less than full-time and the incumbent needs additional
supervised professional experience hours, the appointment may be renewed or extended up to, but not to
exceed, an additional 12 months. Once fully licensed, incumbents may apply for a position in another classification.
Research Fellow Overview: The Research Fellow classification provides individuals who have completed the requirements
of a terminal academic degree program (or all the requirements except the dissertation) with an opportunity to work on a
research project or study for the CSU. Appointments to this classification are temporary in nature and of limited duration.
Research Fellow positions generally are funded through grants, contracts or other sources.
Under the mentorship of a principal investigator or administrator, the Research Fellow performs a variety of work in support
of a research project or scholarly activities which enhance teaching skills and effectiveness. Incumbents may assist in
preparing grant proposals and progress reports and may supervise undergraduate students and/or graduate students
working on the project.
The Research Fellow classification is distinguished from the Teaching Associate and Lecturer classifications by assignments
that primarily involve research rather than classroom instruction. Unlike the Teaching Associate, Graduate Assistant or
Student Assistant classifications, this classification does not require enrollment as a student or admission in a CSU academic
degree program.
Once the appointment form has been completed, obtain the necessary signatures and send to the Faculty
Affairs office located in Stevenson Hall 1041. If you have any questions about completing this form, please
call Faculty Affairs at 664-2192 (CRS 877-735-2929 TTY).
If this individual is not a current employee at Sonoma State University or has worked as a student employee
only, please enclose a curriculum vitae or resume which shows name, address, phone number, and
education and work experience. It is also necessary that Official Transcripts and a completed New Employee
Form are submitted to Faculty Affairs. Such individuals will also need to complete employee sign-up through
Employee Services.
Faculty Affairs (10/2014)
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FORM:

Date: The date the form was filled out.

Form completed by and Phone: The person completing the form and the corresponding phone number.
Appointment:
The fields should be filled out as follows:
Position Title
This is the CSU Classification Title and corresponding Job Code which are located
in the CSU Salary Schedule.
Start Date
This is the starting date of the appointment (first day of work).
End Date
This is the date the appointment will end (last day of work).
PeopleSoft
This is the position number in PeopleSoft. If this is a new position, or if the position
Position Number
has changed, you may not have this number available until it has been
established in the system. If that is the case, leave this field blank and Faculty
Affairs will enter it.
Payroll Unit
This is the number used to sort paychecks for delivery to departments.
Number
Department
This is your respective department number in PeopleSoft.
Number
Department
This is your respective department name that coincides with the HR Department
Name
number.
Personnel Action:
The fields should be filled out as follows:
Employee Name
Enter the employee name here.
Employee ID
This is the employee's identification number assigned in the PeopleSoft system. If
you do not have this number or the individual is a new employee, leave this field
blank.
Employee Record
For employees with multiple record numbers, note which record number the
personnel action is affecting if known.
Monthly Full-time
Monthly Full-time base rate of pay is the rate that would be paid monthly if the
Base Rate of Pay
individual worked a 100% Time Base (1.0) per week.
Time Base
This is the time base (shown as a percentage) that the individual will work. Enter the
time base percent as a whole number, between 2 and 100. 2=2%, 100=100%.
Value entered must be divisible by 2 or 5.
Distribution of Labor Cost:
The fields should be filled out as follows:
Fund
This is the 5-digit (2 alpha and 3 numeric) PeopleSoft fund number. Example:
SO100.
Finance Dept ID
This is a 4-digit numeric code. In some cases, this will be different from the HR
Department Number.
Project/Grant
If applicable, for the Project, indicate the 5 or 7-digit numeric code and the fund
number for the Grant.
% Applied
If the appointment will be paid from various funds, indicate the percentage to be
applied to each fund.
Program/Class/
If the funding is specific to a program or class, please indicate here and explain
Comments
any action with brief comments.
Approval:
Unit
Administrative
Faculty Affairs
Faculty Affairs (10/2014)
Only Appropriate Administrator, Department Chair or the Director of the
corresponding department.
Approval by the Vice President, Dean, Department Chair or the Director of the
Division.
Please forward the approved form to Faculty Affairs to be processed and
forwarded to Financial Services.
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