Position Identification

Position Number: Click here to enter text.	Job Title: Click here to enter text.
Department: Click here to enter text.	Date: Click here to enter a date.
Employee Name: Click here to enter text.	Supervisor Title: Click here to enter text.
Employee Signature:

“Please note that should this position be upgraded, your budget will be affected. We will require the salary code and approval from your Dean to confirm that the additional monies are available on ongoing bases.

Changes

Are there significant changes to the key activities presently stated on your Job Fact Sheet?

Choose an item.

Please specify the activity (A.B.C.D.E) and state the change only. If the general purpose of the position has changed, please submit a new job fact sheet. If you require more space, please feel free to attach more detail as an appendix to this document.

Key Activity	Change
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.
Click here to enter text.	Click here to enter text.

Have the minimum mandatory educational standards changed? Choose an item.

Please specify.

Click here to enter text.

Has the period of time necessary to learn to do the required activities changed? Choose an item.

Please specify:

Click here to enter text.

Based on the changes stated in key activities, education and/or experience, are there further changes in:

Impact of errors: Choose an item.

Please specify:

Click here to enter text.

Working relationships: Choose an item.

Please specify:

Click here to enter text.

Direction provided and/or received from other: Choose an item.

Please specify:

Click here to enter text.

Physical and/or sensory effort associated with the work: Choose an item.

Please specify:

Click here to enter text.

Exposure to disagreeable working conditions or hazards: Choose an item.

Please specify:

Click here to enter text.

Supervisor’s Comments:

Click here to enter text.

Supervisor’s Name: Click here to enter text.

Supervisor’s Title: Click here to enter text.

Supervisor’s Signature: _______________________________________________

Date: ___________________________________________

Department Chair’s Name: Click here to enter text.

Department Chair’s Signature: _______________________________________

Date: _____________________________________________

Please return this along with the original Job Fact Sheet (with changes highlighted) to the Human Resources Department.