NAME____________________________________ DATE WRITTEN____________ CURRENT TITLE________________________________

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SOUTHEAST MISSOURI STATE UNIVERSITY
JOB DESCRIPTION FORM
CLERICAL AND SERVICE JOBS
IDENTIFICATION DATA
NAME____________________________________
DATE WRITTEN____________
CURRENT TITLE________________________________
PHONE_____________
DEPARTMENT, DIVISION, COLLEGE_____________________________________
IMMEDIATE SUPERVISOR______________________
Name
_____________________
Title
DEAN, DIRECTOR,____________________________
DEPARTMENT HEAD
Name
______________________
Title
APPROVED TITLE AFTER EVALUATION____________________________________
(To be completed by Human Resources Only)
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I. PRIMARY RESPONSIBILITIES
List your position's primary responsibilities in order of their importance. Under each
responsibility, include a list of the specific tasks that make up that responsibility. Indicate
the frequency these tasks are performed. (If you cite budget responsibilities or
purchasing activities, please give the dollar amounts involved. If you use abbreviations,
please explain or define the abbreviation with its first usage.)
FREQUENCY____________________PRIMARY RESPONSIBILITIES______________
FREQUENCY____________________PRIMARY RESPONSIBILITIES______________
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FREQUENCY____________________PRIMARY RESPONSIBILITIES______________
FREQUENCY____________________PRIMARY RESPONSIBILITIES______________
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II. SPECIAL QUALIFICATIONS REQUIRED BY THE POSITION (Please be sure that
the qualifications you state are supported by the job and are not specific to the
individual who occupies the job):
Certificates or Licenses:
Special Skills:
Tools or Machines Used (Include computers, software, etc.):
III.
LATITUDE
Describe the kinds of decisions you make. How does each of these
decisions require you to exercise judgment and/or discretion? Please indicate the
nature of the judgments required and how these actions relate to or affect other
parts of your job or the jobs of others.
Does your job require creativity, decision making, originality, etc.?
examples.
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Give
What kinds of decisions are made without supervisor approval?
What kinds of decisions require supervisory approval?
IV. GUIDELINES
What policies, regulations or procedures guide the work of this job? Please
identify the source of these policies, regulations, and procedures (Governmental,
University, work processes, etc.)
Please explain how these guidelines, regulations or procedures interact with your
work.
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V.
DEGREE OF SUPERVISION RECEIVED
How frequently is instruction given to you by your supervisor? Indicate in
what form instruction is given (verbally, brief written form, detailed written, etc.)
Describe the nature of the supervision you receive.
How often is your work checked? (Is all work checked? Is it reviewed in stages?
Are only completed projects reviewed?) Give examples.
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VI.
OVERALL EFFECT
How does the successful completion of your work affect the services of your
unit, the college, major division, and/or the University? (Please try to give
examples of your actual work output in response to this question).
If you, for any reason, are not able to perform your work on time or
accurately, what would be the most serious effect to your department, college,
major division, and/or the University?
VII.
CONFIDENTIAL DATA
Does your job include working with confidential materials or papers? If
“yes”, describe fully the nature of your confidential work. (For example: files
faculty tenure records; types confidential memos, letters, etc.; processes payroll
actions; responsible for assuring safety of records; etc.)
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Does this job include responsibility for keys, cash or the security of others?
If so, please describe in detail.
VIII.
CONTACTS WITH OTHERS
List the nature, purpose and frequency of contacts with:
Others within your department:
Faculty and staff within other departments:
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Public:
Students:
IX.
PHYSICAL DEMANDS
Describe the physical demands of the work (does it involve such physical
exertion as climbing, lifting, pushing, stooping, kneeling, crouching, crawling,
reaching or balancing?).
Are the physical demands occasional? ___ frequent
examples).
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___ continual? (Give
X.
WORK ENVIRONMENT
Describe the work environment (Does it include any risk? Any discomfort?
If yes, is the risk or discomfort mild? moderate? severe? Does it occur
occasionally? frequently? continually?)
XI.
DIRECT SUPERVISION EXERCISED
Does this position supervise others? (List titles of positions supervised.)
Describe the type of supervision you give to others (for example, complete
overall supervision including hiring; assign work and give instructions for handling
assigned work; verify or check work performance).
XII.
Job Holder Comments
1. Please describe any important aspects of your job that have not been
considered elsewhere in this form.
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2. Are there any other comments you wish to make?
XIII.
Supervisor Comments
1.
What do you see as the important end results of the position?
2.
Describe the typical training sequence you or your department would
provide to a newly hired person in this position.
3.
What actions must the job holder refer to you or others for approval?
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4.
What, if any, comments would you offer to help the job evaluation committee
understand this job?
XIV.
Signatures
Questionnaire completed by:
(Please sign)
____________________________ ______________
Employee
Date
Contents approved by:
(Please sign)
_____________________________ ___________
Immediate Supervisor
Date
Contents approved by:
(Please sign)
_____________________________ ___________
Dean, Director, Dept. Head
Date
Contents approved by:
(Please sign or initial)
_____________________________
Vice President/Provost
___________
Date
PLEASE NOTE: Signature signifies agreement that the contents of this job description
questionnaire are an accurate presentation of this job.
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