Request for Change in Supportive Professional Staff Title

Section II. Item 17.

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Pos. No. ________________

College ______________________________________________ Date _____________________

Department ___________________________________________ Effective Date ______________

Division ________________________________________________________________________

Charge To: Local Fund __________________________________________

Account Name ______________________________________

General Revenue _____________________________________

Status of Appointment ___________________________________________

Contract Period ________________________________ No. of Months ________

(check one)
Full Time ______ Part Time ______(______ %) Regular ______ Temporary _____

Request for Change in Title:

Justification: A memorandum should be attached summarizing the justification for this request. Relevant factors such as workload, expansion of responsibility and employee performance should all be addressed. An updated job description must always accompany this request.

Current Title ___________________________________________________

Has a title change previously been requested for this position?

Yes _____ No _____ If "yes," date? ___________

New Title Request _______________________________________________

Is this a departmental "working title"? YES _____ NO _____

If this request is to establish an internal "working title" only, HRS will provide notification when the approval process is completed.

If this request is to alter an existing formal title, this form must be attached to a Turnaround PAF. HRS will provide notification when the approval process is completed.

__________________________________________ ____________
Chair/Director                                                                          Date

__________________________________________ ____________
Dean/Division Head                                                               Date

__________________________________________ ____________
Vice President                                                                         Date

__________________________________________ ____________
President/HRS                                                                        Date

Approved by Senior Cabinet, March 31, 1997

Last Updated: 3/31/97