UNIVERSITY OF PITTSBURGH FORM INSTRUCTION GUIDE



FORM TITLE:  RECRUITMENT REQUEST

NUMBER:      FORM 0069

PROCEDURE:   07-01-02





ORIGINATION SECTION



Unshaded areas to be completed by the responsibility

center/department.



1.   Account number (NN-NNNNN-NNNN-NNNNN-NNNNNN-NNNNN-NNNNN).



2.   Name of the department, section, unit, or project associated with

     the position.



3.   Job Classification Title associated with the job classification

     code (description from SPI 80).



4.   Employment Status (check one):



     RF   Regular Full-Time -- A pre-determined schedule of hours and

          days in a position established as essential for the long-

          term operation of the department with a percent of effort of

          100% of the established 37 1/2 hour work week, or where

          applicable, the 40 hour work week.

     

     RP   Regular Part-Time -- A regular position as described in RF

          above and with percent of effort at a pro rate of the

          established work week of 37 1/2 or 40 hours, whichever is

          applicable.

     

     TF   Temporary Full-Time -- A position limited and/or sporadic in

          duration for a specific project, for the temporary

          replacement of an absent regular employee, or for short term

          needs during peak periods of work load.  The percent of

          effort is 100% of the established work week.  Usually does

          not exceed six months.  Requires further review if beyond

          six months.

     

     TP   Temporary Part-Time -- A temporary position as described in

          TF above.  The percent of effort is less than 100% of the

          established work week and is proportionate to the

          anticipated actual hours during the period of employment.



5.   FLSA (Overtime) Status (check one):



     EX   Exempt from overtime provisions of the Fair Labor Standards

          Act.

     

     N    Non-exempt from overtime provisions of the Fair Labor

          Standards Act.



6.   The percent of effort to be expended (Full-time = 100%).



7.   Check one to indicate request for new position or replacement.



8.   Work schedule:  specify days and hours of work.



9.   Length of provisional period (three calendar months for

     secretarial, clerical, or technical positions, six calendar

     months for professional positions).



10.  Five-digit position number.  If the request is for a new

     position, number will be assigned by Human Resources.  If the

     request is for a replacement position, enter position number from

     the Employee Record of the person being replaced.



11.  Four-digit primary job classification code (see SPI 80 or Data

     Element Dictionary (DED) Table 18324).



12.  Percent of salary supported by University budgeted funds.



13.  Percent of salary supported by other than University funds.



14.  Name of person being replaced, if applicable.

     

15.  Name, campus address, and campus telephone number of the person

     within the department to be contacted regarding the request.

     

16.  Name, campus address, and campus telephone number of the

     immediate supervisor for the position.



APPROVAL SIGNATURES -- Required for new and replacement position

requests:



17.  Signature of Department Chairman or Supervisor and date.



18.  Signature of Dean or Director and date.



19.  Signature of appropriate Administrative Officer and date

     (Chancellor, Vice Chancellor, Senior Vice Chancellor or Provost).



20.  Authorization of Human Resources.



INTERVIEW SECTION



To be completed by the department during the interview process:



21.  Name of each applicant interviewed by the department.



22.  Date of the interview.



23.  Sex of each applicant (enter M or F).



24.  Race Code from DED Table 11020 (enter one):



     1    Black -- Having origins in any of the Black racial groups of

          Africa.



     2    Asian/Pacific Islander -- Having origins in any of the

          original peoples of the Far East, Southeast Asia, the Indian

          Subcontinent, or the Pacific Islands.  This area includes,

          for example, China, Japan, Korea, the Philippine Islands,

          and Samoa.



     3    American Indian/Alaskan Native -- Having origins in any of

          the original peoples of North America, and maintaining

          cultural identification through tribal affiliation or

          community recognition.



     4    Hispanic -- Persons of Mexican, Puerto Rican, Cuban, Central

          or South American or other Spanish culture or origin,

          regardless of race.



     5    White -- Persons having origins in any of the original

          peoples of Europe, North Africa, or the Middle East.



25.  Remarks:  Include job-related comments on qualifications of

     applicants interviewed.



SELECTION SECTION



Unshaded areas to be completed by the department when a candidate has

been selected:



26.  Name of the person selected for the position.



27.  Bi-weekly on monthly salary offered.



28.  Check yes or no to indicate if salary offered is above the

     control point established for the position according to the Staff

     Classification and Pay Plan.



29.  Reason for selecting this candidate for the position, and for

     salary above control point, if applicable.



APPROVAL SIGNATURES



30.  Signature of Supervisor of the position and date.



31.  Signature of Dean or Director and date.



32.  Signature of appropriate Administrative Officer and date

     (Chancellor, Vice Chancellor, Senior Vice Chancellor or Provost)

     if salary offered is above the control point.



33.  Authorization of Human Resources.