JOB CHANGE FORM Use to change or renew appointments for Non-Faculty

INFORMATION BELOW IS REQUIRED FROM UNIT or DEPARTMENT Action Requested: Requested By:

Employee Name (Last, First MI): EID (if known):

Department: Job Record (if known):

APPOINTMENT CHANGES- Add Information for Changes Only

Start Date: End Date: ☐ Indefinite Change

☐ Change Current Position # Information or ☐ Create a New Position #

Payroll Title: Appt Type: Supervisor:

Department: ☐ Change Home Department Location:

Pay Rate: Pay Type:

Hours per Week: ☐ Variable CALTIME CHANGES

Meal Break: Comp Time Election: Shift Length: Shift Occurs:

Friendly Name: Friendly Name Type: FUNDING CHANGES

Start Date

End Date Earn Code % GLBU Fund Org ID Program Chartfield 1 Chartfield 2 Budgeted

FTE Work Study Code

APPROVALS (as needed) Attach email approval if needed in lieu of signature below

Supervisor Name: Signature:

INFORMATION BELOW WILL BE COMPLETED BY CSS HR PARTNER/GENERALIST Action Needed:

Time Code: Pay Schedule: Leave Code: Department Org ID: Location: Title Code: Step: Earning Code: BELI:

NOTES

Attached: ☐ Job Description & PEM ☐ Offer Letter/ Contract ☐ Compensation Analysis

Updated August 2017

Signature:

Signature:

Fund Manager Name:

Unit Manager Name: