UNIVERSITY OF PENNSYLVANIA HUMAN RESOURCES/COMPENSATION POSITION INFORMATION QUESTIONNAIRE SHORT FORM SAMPLE ONLY
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UNIVERSITY OF PENNSYLVANIA HUMAN RESOURCES/COMPENSATION POSITION INFORMATION QUESTIONNAIRE SHORT FORM SAMPLE ONLY Please modify for your particular job and insert specific position responsibilities. Check if new position is being created Date: ______________________ Job Title: ____Research Specialist C_________________ Employee Name: _________________________________________ Job Class Code/Grade: _____320030__________________ Employee ID:_____________________________________________ School/Center: ___School of Medicine______________ Supervisor’s Name: ________________________________________ Department: _____Microbiology____________________ Supervisor’s Title: ______Professor__________________________ =============================================================================================== POSITION SUMMARY: In a few sentences, briefly describe the primary function and purpose of position. Carry out molecular analysis of mouse mammary tumor virus infection in tissue culture cells and mice. Specific techniques include micro-array analysis RNA and DNA isolation, polymerase chain and reverse transcribed polymerase chain analysis, pseudo-virus infections, sub-cloning MMTV receptor molecules, tissue culture maintenance, protein isolation, SDS-PAGE analysis, western blots, southern blots, northern blots, preparation of data and manuscripts for publication and grant submission. ____________________________________________________________________________________________________________ PRINCIPAL POSITION REPONSIBILITIES/DUTIES: List up to ten major tasks starting with the most important for which the position is responsible. Include the estimated percentage of time spent on performing the task, with no task more than 25%. Also, identify how critical the task is to the position, with 1 being least important, 5 being most important. (Refer to PIQ guidelines.) RESPONSIBILITIES/DUTIES Estimated % of Time Micro-array analysis RNA and DNA isolation 20 1 Pseudo-virus infections 20 2 Sub-cloning MMTV receptor molecules 10 3 Tissue culture maintenance 10 4 Protein analysis 10 5 Preparation of data and manuscripts for publication and grant submission 25 6 7 8 9 10 Perform additional duties as assigned 0 Identify any of the above listed tasks, which were added in the last year by listing the related numbers: _______ _______ _______ _______ _______. 5% 100% Critical Level JOB EVALUATION FACTORS: Listed below are job evaluation factors. Check single best answer that applies. (Refer to PIQ guidelines for definitions.) Position Evaluation Factor Q1 Formal Education (Minimum education req.) Response 1 2 3 4 5 6 7 Key Words H.S. Diploma or GED preferred H.S. Diploma or GED required Vocational or Technical School required Associate’s Degree or Two Year College equivalent required Bachelor’s Degree required; Major (optional) ____________________ Master’s Degree required; Major (optional) _____________________ M.D., Ph.D., Law Degree or equivalent doctoral degree req. Q2 Minimum Experience (Minimum experience req.) 1 2 3 4 0 to 1 year 1 to 2 years 2 to 3 years 3 to 5 years Q3a Planning Scope (Highest level of planning req.) 1 2 3 4 Daily Current Week One to Four Weeks One to Three Months Q3b Planning Level (Level of primary scope of planning) 1 2 3 4 5 6 Individual (position only) Unit or equiv. (<15 faculty & staff) Section or equiv. (> 15 faculty & staff) Department or equiv. (> 15 faculty & staff) School/Center University-wide 5 6 7 5 to 7 years 7 to 10 years Over 10 years 5 6 7 Four to Twelve Months One to Three Years Three Years or More Q4a Impact on Operating Budget 1 None 2 Incidental 3 Supportive Approximate Size of Budget 4 Recommending 5 Controlling 6 Delegating $_________________ Q4a Impact on Grant Funds 1 None 2 Incidental 3 Supportive Approximate Size of Budget 4 Recommending 5 Controlling 6 Delegating $_________________ Q4a Impact on Revenue Generating 1 None 2 Indirect 3 Supportive Approximate Size of Budget 4 Contributory 5 Major impact 6 Directing $________________ Q5 Complexity 1 2 3 4 5 6 7 Standardized: few repetitive duties Routine: routine tasks, processes, or operations Basic: Moderately complex procedures and tasks Varied: complex and varied work Analytic: non-standardized and widely varied work Highly Complex: broad in scope covering one or more complicated areas Multifaceted: broad in scope covering the entire University’s operations 3 Q6 Decision Making (Level of direction & supervision) Q7 Problem Solving (Typical level encountered over extensive period of time) 1 2 3 4 5 6 7 Standardized: little independent judgment required Routine: limited opportunity for independent judgment Basic: provided on as needed basis; some independent judgment necessary Varied: establish general objectives relative to project; independent judgment required Analytic: establish and review broad objectives relative to duties/responsibilities Highly Complex: review established objectives/recommend department/school objectives Multifaceted: review and approve major recommendations, establish procedures 1 2 3 4 5 6 7 Problems solved by reporting them to a supervisor Problems solved by talking with a supervisor Solutions found by selecting from specific choices defined in standard work policies Solutions found by using methods chosen before in similar situations Problems solving involves identification and analysis of diverse problems Problems are complex, varied and only mildly related to those seen before Problem solving requires understanding and evaluation of impact upon the University Q8a Internal Contacts 1 2 3 4 5 6 7 Little or no contact Regular contact within department & periodic contact with other departments Regular contact within department & with other departments, supplying information Regular contact to carry out programs; occasionally with officials at higher levels Regular contact to carry out programs; continuing contacts with officials at higher levels Regular contact with internal persons of importance and influence Continuing contacts involving difficult formal negotiations Q8b External Contacts 1 2 3 4 5 6 7 External communication with others is minimal Occasional contact with outside agencies & general public supplying information Regular contact with outside agencies & general public supplying/seeking information Regular external contacts to explain specialized matters, occasionally to enforce policies Regular external contacts, with continuing personal contact to enforce policies Regular contact with external persons of importance and influence Continuing external contacts involving difficult formal negotiations Q9a Supervisory Responsibility 1 2 3 4 5 6 7 _____ No responsibility or authority for direction of others Authority limited to direction of student &/or temporary workers Orient/train others; may act in lead capacity Provide limited supervision for one or more functions within a department (functional) Make recommendations re: HR issues; plan/assign/evaluate work of staff (bonafide) Supervise multiple functions, with full responsibility for effective operation & results Overall responsibility to provide direction and guidance for Penn Number of Direct Reports _______ Number of Indirect Reports Q10a Job-Related Knowledge (Knowledge & skill required to perform job) 1 2 3 4 Basic Skills Intermediate Skills Advanced Skills Formal Technical Skills Q11 Innovation/Creativity (Degree job requires developing/ improving procedures, policies systems, etc.) 1 2 3 4 5 6 7 Opportunities for innovations are rare Improved methods affect the immediate department Improved methods affect delivery of service to selected customer or students Results impact several work groups, a large project or an extended customer base Results generally affect a school/center within the University Results generally affect several schools/centers Results generally affect the University as a whole; impact competitive position 5 6 7 Entry Professional Skills Advanced Professional Skills Multiple Professional Skills/External Expert ORGANIZATION CHART: (Use staff members names) . [] ____________________ Manager/Supervisor _________________ Peer Position ___________________ This Position ____________________ Peer Position _________________ Reporting Position ___________________ Reporting Position ____________________ Reporting Position WORKING CONDITIONS/PHYSICAL EFFORT: (Check as many as apply) Working Conditions Office, library, computer room Requires extensive safety training Stockroom or warehouse Alternative work schedules High noise environment On-Call (beeper) High dust, dirt, grease environment Exposure to moving machinery Exposure to chemicals Outdoor exposure to weather Requires protective devices Extensive travel (>1000 mi./month) Physical Effort Typically sitting at a desk or table Typically running, climbing Frequent lifting 25 lb. or more Occasional lifting 25-50 lb. Occasional lifting 25 lb. or less Climbing ladders/scaffolds Typically standing or walking Intermittently sitting/standing/stooping Using tools requiring high dexterity [ ] Typically bending, crouching, stooping Employee Comments: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Supervisor Comments: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Employee’s Signature: ___________________________________________________________ Date: ____________ Employee’s Name (please print): _____________________________________________________________________ Supervisor’s Signature: ___________________________________________________________ Date: ____________ Supervisor’s Name (please print): ______________________________________________________________________ Supervisor’s Title: _________________________Professor________________________________________________ Department Head’s Signature: _____________________________________________________ Date: _____________ Department Head’s Name (please print): _______Robert Doms, M.D., Ph.D._______________________________ Department Head’s Title: ___________________Chairman_______________________________________________ Revised 1/00 POSTING INFORMATION: (TO BE COMPLETED ONLY IF POSITION IS TO BE POSTED) Write summary of position for posting purposes. DUTIES: (Description should be brief and only include principle duties.) __________________________________________________________________________________________________________ Carry out molecular analysis of mouse mammary tumor virus infection in tissue culture cells and mice. Specific techniques include micro-array analysis RNA and DNA isolation, polymerase chain and reverse transcribed polymerase chain analysis, pseudo-virus infections, sub-cloning MMTV receptor molecules, tissue culture maintenance, protein isolation, SDS-PAGE analysis, western blots, southern blots, northern blots, preparation of data and manuscripts for publication and grant submission. __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ QUALIFICATIONS: (Qualifications should clearly indicate those that are required and those that are preferred.) __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ MS preferred and 3-5 years lab experience __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ Supervisor’s signature ________________________________________________ Revised 1/00 Date: ___________________________
