DIRECTIONS
FOR COMPLETING THE PERSONNEL ACTION
FORM
(L-1347) /
BACK OF THE "PINK SHEET"
Approval must be received from both the provost and
assistant to the chancellor for affirmative action & diversity before
an offer of employment is extended.
The
Personnel Action Form is
completed by the dean or designee (such as the department chairperson).
It is the dean’s responsibility to ensure that all entries are correct.
SECTION
4: FACULTY HIRING/APPOINTMENT TYPE
Recruitment Number--The
number assigned for this recruitment by the department. It can also be found on the upper right hand corner of the front of this form (Authorization
to Recruit).
Name of the Applicant--As
shown on social security card. Include
middle initial.
S.S.#--Social
security number.
Phone
Number and Mailing
Address--This is the address
where the employment contract will be sent.
Campus
Address--The
room number, building name and phone extension that have been assigned.
Sex--Indicate
gender
Terminal
Degree--Yes
or no. Based on criteria in the
Faculty Promotion Rules.
Education--Indicate
highest educational level attained. If
the appointee has a doctorate, please enter the month and year it was earned, as
evidenced by official transcripts.
Years
of Credited Prior Experience--Indicate
years of prior work experience credited to the appointee.
Probationary
Status--If
probation is checked, indicate the number of years on probation or check tenure
(for those hired WITH tenure).
Actual
Employment Dates--Most faculty
will be hired for the academic year so the first box will be checked.
Those hired for second semester will have the second box checked.
For any other option, please explain.
Human Resources may be consulted, should you have a question.
Faculty
Title Code--Check the
appropriate box; professor, associate professor, assistant professor or
instructor (rarely used).
Working
Title--Indicate a working title
for the position, if applicable. This
is rarely used.
%
FTE--Full time equivalency is
generally 100% for faculty.
Actual Salary--Indicate
actual starting salary.
Salary
Basis—The salary basis for
most faculty will be on an academic year. If other, please specify.
Fund,
IBAC, 1st DDU, %--The full
account code where the salary and fringe benefits should be charged.
Also, indicate the percent of salary to be charged to this account.
Under normal circumstances, this account should be the same as on the
front side of the pink form (Authorization to Recruit).
Fund,
IBAC, 2nd DDU, %--The second
account code if salary is to be split between different accounts.
Dept--indicate
the name of the department such as Math.
SECTION
5.
SIGNATURE OF DEAN:
Dean--Signature
of the dean indicates offer of employment has been approved, in consultation
with provost (or chancellor), the assistant to the chancellor for affirmative
action & diversity, and
offer of employment has been extended and verbally accepted.
The completed form will be reviewed for consistency by the Office of
Human Resources and a contract prepared from the information provided.
SECTION
6.
PROVOST/VICE CHANCELLOR:
The Provost/Vice Chancellor signs all faculty pink sheets
For Human Resources Use Only--to be completed by the Office of Human Resources.