REQUEST TO VARY
Continuing and Fixed-Term Appointments
Instructions
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This form is to be used to request a variation to a continuing or fixed-term appointment.
It is the responsibility of the Delegated Officer/s to ensure the request is in line with University Policy, and clarification and advice may be sought
from the HR Advisory Service, where required. Incorrect or incomplete requests will not be processed and will be returned.
Once approved it is the responsibility of the Nominated Supervisor to ensure this request, along with all required attachments (including
electronic versions), are forwarded to the HR Advisory Service, and to keep a copy for their records.
It is the responsibility of the Nominated Supervisor to ensure that the appointee has accepted and submitted their offer of variation to Human Resources,
prior to undertaking any varied work arrangements at the University.
SECTION 1 – INCUMBENT DETAILS
TITLE:
FIRST NAME:
SURNAME:
SECTION 2 - POSITION DETAILS
POSITION TITLE:
CLASSIFICATION LEVEL:
FUNCTIONAL UNIT:
ORGANISATIONAL UNIT:
WAP CODE:
(HR use only)
SECTION 3 - NATURE OF VARIATION
3.1 - VARIATION TO CAMPUS LOCATION
CURRENT CAMPUS:
NEW CAMPUS:
START DATE:
3.2 - VARIATION TO FRACTION
CURRENT FRACTION:
CURRENT HOURS PER
F/NIGHT:
NEW FRACTION:
NEW HOURS PER
F/NIGHT:
START DATE OF NEW
FRACTION:
END DATE OF NEW
FRACTION: (if applicable)
WEEKS OF WORK: (fractional
appointments only)
If the NEW FRACTION is part-time, please indicate the days and hours to be worked below:
Saturday
WEEK 1
WEEK 2
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
3.3 – CHANGE OF SUPERVISOR
CURRENT SUPERVISOR:
Name:
Title:
NEW SUPERVISOR:
Name:
Title:
START DATE:
SECTION 4 - REASON FOR VARIATION
RATIONALE:
(Attach supporting documentation if
appropriate)
SECTION 5 – ENDORSEMENT & APPROVAL
REQUESTED:
(Nominated Supervisor)
ENDORSED:
(Next most senior University Officer, if
applicable)
APPROVED:
Relevant Authorising Officers:
3.1: Member of Executive
3.2: < 6 weeks: Nominated Supervisor;
> 6 weeks: Member of Executive.
3.3: Member of Executive
Name:
Signature:
Title:
Date:
Name:
Signature:
Title:
Date:
Name:
Signature:
Title:
Date:
SECTION 6 - ACCEPTANCE (Please note that no other confirmation will be provided)
I accept this formal offer of variation to my appointment on the conditions set out in this form and understand that all other terms and conditions of my
employment, as outlined in previous correspondence, remain the same.
Name:
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Signature:
Date:
Electronic copy of this documentation should be emailed to the HR Advisory Service hr@acu.edu.au
Part-time staff who are varying their pattern of work, but not their fraction, do not need to complete this form, rather they
should advise the variation to their pattern of work by email to hr@acu.edu.au
HUMAN RESOURCES DIRECTORATE INTERNAL USE ONLY
CHECKED BY HR ADVISOR:
NOTES:
Signature:
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* If 3.2 applies to a fractional appointment, please update relevant spreadsheet.
Date: