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Document Sample
June 2006 Version 7a
Schedule Form
NOTE: HR Web Site: http://www.umanitoba.ca/admin/human_resources/
Submit this form to Human Resources for:
. Changes in an employee's schedule
. Appointment of support staff to posted positions where the employee does not work full-time and does work
a regular schedule
. Creation of new full-time support staff positions where the employee does not work the same number of hours
and does not have the same start time each day
If the total number of hours has changed, you must submit a hard copy that includes the required signatures. If the total number of hours worked has
not changed, you may submit a soft copy of this form (human_resources@umanitoba.ca).
If the faculty or unit is initiating the change in the employee's schedule, the employee must be notified at least one month in advance, or as specified in
the applicable collective agreement.
Do not use this form for:
. Changes in workload for research or professional associates, or part-time term academics. To process such changes,
you must issue a new or amended Letter of Offer.
. Reduced Appointments. To recommend a reduced appointment, submit the Reduced Appointment form.
. Changes in the appointment end date; use the Reappointments/Changes in Appointment form.
Reason for submitting this form: New appointment Change in schedule Creation of new position
Questions? For more information, please call Trina Kajtar at 474-7930.
1. Employee Information
SURNAME: U of M Employee No.
First Name:
Middle Name:
2. Position Information
Position No: Faculty or Unit:
Position Title: Department:
Section (if applic.):
3. Schedule
Effective date for this schedule (yyyy/Mth/dd):
Expiry date for this schedule (yyyy/Mth/dd) (if applic.):
Is employee working a regular schedule? Yes No
That is, the employee works the same hours from one week to the next. Exceptions to the regular schedule do not generally occur in
more than one out of every five payrolls.
If the employee is a CUPE 3909 Student TA who works the same number of hours most weeks but occasionally works additional hours when
grading/marking, consider the employee to have a regular schedule. In those weeks that the employee works additional hours, report the additional
hours on the appropriate time reporting form.
If no:
What is the range of hours employee could work (for example, 0 - 35)?
Skip the rest of this section and go to Section 4 - Signatures.
If yes, continue with this section.
Total hours worked per week:
If submitting this form because of a change in schedule:
Total hours formerly worked/week:
Will there be a period when employee will not be working (for example, during mid-term break)? Yes No
Do not enter dates for periods when the university is closed for the Christmas break; employees will be paid automatically for statutory holidays and
university closures, as per provincial labour standards and the applicable collective agreements.
If yes: Start date of period when employee will not be working (yyyy/Mth/dd):
End date of period when employee will not be working (yyyy/Mth/dd):
If you are unsure of the dates of the period when employee will not be working, you will enter the information using the appropriate time reporting form
for the period(s) in which the employee is not working.
Is this employee a CUPE Student? Yes No
If yes, skip the rest of this section and go to Section 4 - Signatures.
If no, continue with this section.
Page 1 of 5 7/27/2012 4:45 AM
June 2006 Version 7a
Schedule Form
3. Schedule (continued)
Is employee scheduled to work before 6 am or after 6 pm? Yes No
If yes, complete Schedule A below. Enter times in 24-hour format hh:mm (for example, 16:00).
If no, complete Schedule B below. Enter times in 24-hour format hh:mm (for example, 16:00).
INSTRUCTIONS FOR SCHEDULE A:
If you are using this form online, the Duration will calculate automatically. Use a separate start and end time to show unpaid breaks. For example, to
show an 8-hour day that begins at 1:00 pm and includes an unpaid supper break taken from 6:00 pm to 6:30 pm, enter 13:00 to 18:00 and then 18:30 to
21:30. (If an employee works more than 5 hours, at least a half-hour break is required by law.)
Schedule A:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start End Durati Start End Durati Start End Durati Start End Durati Start End Durati Start End Durati Start End Duratio
Time Time on Time Time on Time Time on Time Time on Time Time on Time Time on Time Time n
Sum for week
Total: Total: Total: Total: Total: Total: Total: 0
Schedule B:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Durati Durati Durati Durati Durati Durati Duratio
Start Time on Start Time on Start Time on Start Time on Start Time on Start Time on Start Time n
Sum for week
0
4. Signatures
If the total number of hours worked has changed, the signature of the signing authority on the account is required.
Signing authority on the account: Date:
Signing authority on the account: Date:
Department Head (if applicable): Date:
Dean/Unit Head (if applicable): Date:
This form prepared by: Name Phone Dept.
Additional comments:
Page 2 of 5 7/27/2012 4:45 AM
Can more than one employee occupy this position at the same time? Yes: FALSE
Is this a permanent position? Yes: FALSE
Does the employee in this position need to know about:
- forms/procedures relating to appointments? Yes: FALSE
- forms/procedures relating to the submission of hours for casual staff? Yes: FALSE
- forms/procedures relating to budget preparation and financial administration? Yes: FALSE
Is this employee a full time academic with an appointment one year… Yes: FALSE
Is this appointment an additional appointment Yes: FALSE
Is this employee a Research or Professional Associate, OR a part-time…. Yes: FALSE
Does this employee work 8:30 to 4:30 Monday to Friday? Yes: FALSE
Does this employee work a regular schedule? Yes: FALSE
Is this appointment funded:
1. By more than one account? Yes: FALSE
2. In whole or in part by endowment, research and special grant Yes: FALSE
Funding
Fixed:
line amount percentagechoice lump sum dist. even choice
1 FALSE FALSE BLANK FALSE FALSE BLANK
2 FALSE FALSE BLANK FALSE FALSE BLANK
3 FALSE FALSE BLANK FALSE FALSE BLANK
4 FALSE FALSE BLANK FALSE FALSE BLANK
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7 FALSE FALSE BLANK FALSE FALSE BLANK
8 FALSE FALSE BLANK FALSE FALSE BLANK
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11 FALSE FALSE BLANK FALSE FALSE BLANK
12 FALSE FALSE BLANK FALSE FALSE BLANK
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
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No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
No: TRUE Choice: NO
No: FALSE Choice: BLANK
No: FALSE Choice: BLANK
benefits paid? increases paid?
add in replace choice yes no choice yes
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
FALSE FALSE BLANK FALSE FALSE BLANK FALSE
increases paid?
no choice
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
FALSE BLANK
