Section II. Item 17.
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Pos. No. ________________
College ______________________________________________ Date _____________________
Department ___________________________________________ Effective Date ______________
Charge To: Local Fund __________________________________________
Account Name ______________________________________
General Revenue _____________________________________
Status of Appointment ___________________________________________
Contract Period ________________________________ No. of Months ________
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.
Dean/Division Head Date
Vice President Date
Approved by Senior Cabinet, March 31, 1997
Last Updated: 3/31/97