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S e e G u i d e t o W r i t i n g a P o s i t i o n S o u r c e D o c u m e n t f o r m o r e s p e c i f i c i n f o r m a t i o n .
H R U S E O N L Y
D a t e R e c e i v e d F O R M T E X T D a t e R e v i e w e d F O R M T E X T R e v i e w e r ( i n i t i a l / s i g n a t u r e ) : F O R M T E X T
R e c o m m e n d a t i o n : F O R M C H E C K B O X R e v i s e D a t e : F O R M T E X T D i s c u s s i o n w i t h : F O R M T E X T C o m m e n t s : F O R M T E X T
F O R M C H E C K B O X A p p r o v e d a s P o s i t i o n D e s c r i p t i o n b y ( i n i t i a l / s i g n a t u r e ) : F O R M T E X T D a t e : F O R M T E X T
J o b G r a d e : F O R M T E X T
J o b T i t l e : F O R M T E X T D e p a r t m e n t : F O R M T E X T
S u p e r v i s o r s T i t l e : F O R M T E X T
D e v e l o p e d b y F O R M C H E C K B O X i n c u m b e n t F O R M C H E C K B O X s u p e r v i s o r
N a m e ( s ) : F O R M T E X T D a t e : F O R M T E X T
P r o v i d e a b r i e f s u m m a r y ( 2 - 4 s e n t e n c e s ) o f t h e p u r p o s e o f t h e p o s i t i o n :
F O R M T E X T
E s s e n t i a l F u n c t i o n s / M a j o r A r e a s o f R e s p o n s i b i l i t i e s : L i s t i n d e s c e n d i n g o r d e r o f i m p o r t a n c e .
F u n c t i o n / R e s p o n s i b i l i t y F r e q u e n c y
( D , W , M , Q , Y ) % o f
T i m e 1 . F O R M T E X T
F O R M T E X T F O R M T E X T 2 . F O R M T E X T F O R M T E X T F O R M T E X T 3 . F O R M T E X T F O R M T E X T F O R M T E X T 4 . F O R M T E X T F O R M T E X T F O R M T E X T 5 . F O R M T E X T F O R M T E X T F O R M T E X T 6 . F O R M T E X T F O R M T E X T F O R M T E X T 7 . O t h e r D u t i e s a s A s s i g n e d F O R M T E X T
F O R M T E X T F O R M T E X T P O S I T I O N F A C T O R S
P r o b l e m S o lving/Analysis (check one)
FORMCHECKBOX Recurring/routine FORMCHECKBOX Uncommon variations FORMCHECKBOX Complex problems in own work area FORMCHECKBOX Complex problems spanning many areas/fields FORMCHECKBOX Unique situations w/substantial significance FORMCHECKBOX Strategic College-wide problems/issues
Give specific examples of types of problems: FORMTEXT
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
D e c i s i o n M a k i n g ( c h e c k o n e ) L e v e l o f d e c i s i o n s :
F O R M C H E C K B O X L i m i t e d F O R M C H E C K B O X R o u t i n e F O R M C H E C K B O X M a k e s d e c i s i o n s r e g a r d i n g p r i o r i t i e s F O R M C H E CKBOX Makes decisions regarding programs
FORMCHECKBOX Establishes objectives for department FORMCHECKBOX Initiates programs FORMCHECKBOX Strategic decisions for College
Give specific examples of types of decisions made: FORMTEXT
I m p a c t o f D e c i s i o n s ( c h e c k o n e )
F O R M C H E C K B O X L i m i t e d F O R M C H E C K B O X M o d e r a t e F O R M C H E C K B O X I m p o r t a n t F O R M C H E C K B O X S u b s t a n t i a l F O R M C H E C K B O X S i g n i f i c a n t F O R M C H E C K B O X C r i t i c a l F O R M C H E C K B O X S t r a t e g i c
G i v e e x a m p l e s o f i m p a c t : F O R M T E X T
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
B u d g e t a r y R e s p o n s i b i l i t y ( c h e c k o n e )
F O R M C H E C K B O X N o t d i r e c t l y i n v o l v e d F O R M C H E C K B O X A s s i s t s i n d e v e l o p i n g / m o n i t o r i n g FORMCHECKBOX Recommends portions of larger budget
FORMCHECKBOX Develops & manages formalized budget for functional area FORMCHECKBOX Develops & manages multiple formalized budgets for dept.
FORMCHECKBOX Develops & manages budgets for the College
Give specific examples of budgetary responsibility: FORMTEXT
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
C o m m u n i c a t i o n / C o n t a c t s ( c h e c k o n e )
F O R M C H E C K B O X E x c h a n g e s i n f o . w / s u p e r v i s o r o r c o - w o r k e r s F O R M C H E C K B O X E x c h a n g e s i n f o . w / s t u d e n t s , s t a f f , f a c u l t y o r external contacts for routine service FORMCHECKBOX Exchanges info. for service on ongoing basis FORMCHECKBOX Communicates to provide service, coordinate info. & collaborate; coordinates info. exchange FORMCHECKBOX Interprets tech. info. or provides tech. or prof. advice FORMCHECKBOX Persuades, influences, or leads others on strategic issues FORMCHECKBOX Negotiates major issues; plans, develops& communicates Colleges mission & business strategies
Give specific examples: F O R M T E X T
I n d e p e n d e n c e : ( c h e c k o n e ) A m o u n t o f g u i d a n c e t y p i c a l l y n e e d e d f o r c a r r y i n g o u t r e s p o n s i b i l i t i e s :
F O R M C H E C K B O X f r e q u e n t s u p e r v i s i o n F O R M C H E C K B O X p e r i o d i c s u p e r v i s i o n F O R M C H E C K B O X m i n i m a l s u p e r v i s i o n F O R M C H E C K B O X guided by broad policies, precedents
FORMCHECKBOX guided by in-depth knowledge of College policies & short range plans; some guidance available FORMCHECKBOX guided by in-depth knowledge of College policies & long-range goals; independently commits College to long range projects
Give specific examples: FORMTEXT
S u p e r v i s i o n : D o e s t h e p o s i t i o n s u p e r v i s e o r c o o r d i n a t e t h e w o r k o f o t h e r s ? F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o
I f Y e s , I s a F O R M C H E C K B O X s p e c i f i c f u n c t i o n m a n a g e d ? F O R M C H E C K B O X s i n g l e d e p a r t m e n t s u p e r v i s e d / m a n a g e d ? F O R M C H E C K B O X m u l t i p l e d e p a r t m e n t s s u p e r v i s e d / m a n a g e d ?
S t u d e n t S u p e r v i s i o n ? F O R M C H E C K B O X D e s c r i b e t y p e o f w o r k d o n e b y s t u d e n t w o r k e r ( s ) F O R M T E X T
N u m b e r o f s t u d e n t s s u p e r v i s e d F O R M T E X T
L i s t t h e t i t l e s t h i s p o s i t i o n i s r e s p o n s i b l e f o r s u p e r v i s i n g o r m a n a g i n g :
T I T L E
F T E
C o o r d i n a t e
D i r e c t s u p e r v i s i o n F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T
F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X F O R M T E X T F O R M T E X T
F O R M C H E C K B O X
F O R M C H E C K B O X
Q U A L I F I C A T I O N S :
E d u c a t i o n : R E Q U I R E D : F O R M T E X T P R E F E R R E D : F O R M T E X T
E x p e r i e n c e : ( y e a r s r e q u i r e d a n d a p p l i c a b l e f i e l d o f e x p e r i e n c e ) : F O R M T E X T
S k i l l s / A b i l i t i e s : ( e . g . c o m p u t e r s k i l l s , w r i t t e n & v e r b a l s k i l l s , t r a d e s , l a w s , p r o c e d u r e s , t e c h n i c a l ) F O R M T E X T
L i c e n s e s & C e r t i f i c a t i o n s ( e . g . C P A , R N , e t c . ) : R E Q U I R E D : F O R M T E X T P R E F E R R E D : F O R M T E X T
O t h e r R e q u i r e m e n t s : ( e . g . t r a v e l , w e e k e n d / e v e n i n g w o r k ) F O R M T E X T
W o r k i n g C o n d i t i o n s : S p e c i f y t h e p h y s i c a l , m e n t a l a n d e n v i r o n m e n t a l c o n d i t i o n s o f t h e e s s e n t i a l f u n c t i o n / r e s p o n s i b i l i t i e s o f t h e p o s i t i o n . F o r e a c h i t e m b e l o w c h e c k o n e o f t h e f o l lowing codes:
C Constantly (6-8 hours per day); F Frequently (3-6 hours per day); O Occasionally (up to 3 hours per day); N Never
Physical conditions:
C F O N C F O N C F O N
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Bending [neck] FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Fine finger movement FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reaching above/below shoulder
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Bending [waist] FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Climbing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Kneeling
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Pushing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Pulling FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Sitting
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Standing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Squatting FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Walking
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Twisting [neck] FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Twisting [waist] FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX F O R M C H E C K B O X D a t a E n t r y F O R M T E X T h o u r s p e r d a y
F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F o o t C o n t r o l s F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X H a n d C o n t r o l s F O R M T E X T O t h e r
F O R M C H E C K B O X L e f t F t . F O R M C H E C K B O X R i g h t F t . F O R M C H E C K B O X B o t h F O R M C H E C K B O X L e f t H a n d F O R M C H E C K B O X R i g h t H a n d F O R M C H E C K B O X B o t h
M u s t c a r r y / l i f t l o a d o f :
C a r r y Lift Carry Lift
C F O N C F O N C F O N C F O N
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX up to 10 lbs FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 25 50 lbs FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 10 to 25 lbs FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX over 50 lbs FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX
Mental Requirements:
C F O N C F O N C F O N
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reading/Comprehending FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Writing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Calculations
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Communicating Orally FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reasoning/Analyzing FORMTEXT O t h e r
E n v i r o n m e n t a l C o n d i t i o n s : ( a s a r e q u i r e m e n t o f t h e p o s i t i o n )
C F O N
F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X E x p o s e d t o excessive noise?
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Around moving machinery/equipment?
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Drives Motorized vehicles?
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Exposed to bio-hazards such as: blood borne pathogens, sewage, waste, etc.?
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Contact with water/liquid/chemicals? Type: FORMTEXT
F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X U s e o f p r o t e c t i v e e q u i p m e n t ? T y p e ? F O R M T E X T
F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X W a l k o n u n e v e n g r o u n d o r e l e v a t e d w o r k s i t e o r c o n f i ned spaces (circle all that apply).
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Exposed to dust, fumes, chemicals, radiation or microwaves? (circle all that apply)
FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Exposed to variation in temperature and or humidity?
Additional Information: FORMTEXT
S a i n t M a r y s C o l l e g e P O S I T I O N S O U R C E D O C U M E N T
J o b T i t l e :
D e p a r t m e n t :
P o s i t i o n S o u r c e D o c u m e n t R e v . 9 - 1 - 0 8 P A G E \ * M E R G E F O R M A T 5
S a i n t M a r y s C o l l e g e P O S I T I O N S O U R C E D O C U M E N T
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