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.