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Request to Add Renew Change Position

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					                       U NIVERSITY         OF   C ALIFORNIA O FFICE                OF THE   P RESIDENT




                           Request to Add/Renew/Change Position


DATE:

TO:                                                         Regional Director
CC:      Debbie Pichla                                      International Hr Analyst
FROM:



Division: Academic Affairs           Department: Education Abroad Program



  1. Study Center:


  2. Position Title:


  3. Name of Individual:


  4. Current Position Salary:


  5. Proposed Position Salary:


  6. Action Type
           New Position*                                        Replacement*                Contract Renewal*

           Position Reclassification/Change in duties*          Salary Adjustment           Change in Percentage of Time

           Leave of absence                                     Termination

  *Requires submission of job description/list of services for service contracts

  7. Effective Date                             (include start and end dates, if leave of absence)

  8. Type of Appointment for Proposed Position, Replacement
           Career            Independent Service Provider           Fixed Term/Temporary

  9. Proposed weekly percentage of time for the position and number of hours per week:

 10. If proposed appointment type is not career, # of months of appointment and start/end dates:

 11. Is this an extension of a current appointment?          Yes       No




Created by dpichla                                                                                                    10/31/2012
Request to Add/Renew/Change


12. Rationale for requested action: Provide a detailed rationale for the request and include budget impact.




13. Budget Information (To be completed by UOEAP)
    Source of Funding:        Permanent Funding             Temporary Funding          FAU: M 406210 19900 sub 1
    Explanation:




Regional Director Review:                                                             Date:
                             Signature

Human Resources:                                                                      Date:
                      Signature



                      REQUIRED FOR NEW POSITIONS, REPLACEMENTS AND SALARY ACTIONS:


   Finance Director Review:                                                              Date:
                                                           Signature

   Executive Leadership Review:          Approved       Not Approved


                                                                                           Date:
                                         Signature




                                                         Page 2 of 3                                           10/31/2012
Request to Add/Renew/Change

                                                                  `

                                Guidance for Completing the Request to
                                          Add/Renew/Change Position

            — All requests will be reviewed with consideration given to both host country and UC labor practices —


GENERAL INFORMATION:
     o If you need assistance completing the form please contact Debbie Pichla, dpichla@eap.ucop.edu

     o Tip: Check the boxes by placing the cursor at the space directly in front of the box you want to select and double click.
       The check box form will appear and you can select the “checked” default value.

     o If you are requesting multiple positions with the same title and contract duration you may use a single form (i.e.
       temporary summer help)

     o Requests may be modified by UOEAP to reach mutual agreement

     o Approval of the request does not make it permanent. UCEAP reserves the right to modify terms and conditions of all
       contracts in accordance with applicable regulations and our business needs.

   Question 1: Enter your Study Center location (i.e. France – Paris)

   Question 2: Enter position title. This should be the current title or proposed title if it is a new position being requested.

   Question 3: Provide name of employee or service provider

   Question 4: Provide current annual salary. This may consist of a base amount only or base + other forms cash
    compensation where the salary is structured with additional components.

   Question 5: Provide proposed annual salary

   Question 6: Indicate what action is being requested. A job description is required for requests to add, replace, or
    change a position.

   Question 7: Indicate the requested effective date of the change

   Question 8: Select the type of appointment

   Question 9: Proposed weekly percentage of time, full-time or part-time and number of hours per week. If contracted hours
    will vary, please indicate number of weeks at ____ hours/week for each period that varies.

   Question 10: Provide duration of Independent Service Provider contracts and fixed-term/temporary contracts, including
    start and end dates.

   Question 11: Indicate if the appointment request is an extension of an existing contract.

   Question 12: Provide rationale for the change request. Consider the following:

     o What change or changes have occurred at the Study Center to necessitate the request

     o How will this change affect other positions within the Study Center (i.e. request for temporary staff or change in job duties)

     o How much will it cost (consider salary and employer taxes where applicable)




                                                            Page 3 of 3                                                    10/31/2012

				
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