Request for Personnel Action - UCI



UC Irvine

Student Affairs

Hiring Summary Sheet

Request for Personnel Action

Action: Hire-New or Replacement (Name of Replacement)

Last Day Worked _______Date________

Department: Student Life & Leadership – (insert specific department name)

Status: Career/Contract/Limited (pick one)

Funding Source: Legacy Account & KFS Account

Classification: Payroll Title

Title Code: (4-digit number)

Salary: $ annual/hourly (or range)

Appointment: 100%

Appointment Priority Code- A B C (please select)

Approved: _______________________ Date: __________________

Department Director Name

Title, Department

Student Life & Leadership

Approved: _________________________ Date: ___________________

Rameen Talesh, Ed.D.

Assistant Vice Chancellor, Student Life & Leadership

Dean of Students

Approved: _______________________ Date: __________________

Thomas A. Parham, Ph.D.

Vice Chancellor

Student Affairs

UC Irvine

Student Affairs

Cover Letter

DATE

To: Thomas A. Parham, Ph.D.

Vice Chancellor

Student Affairs

From: Rameen Talesh, Ed.D.

Assistant Vice Chancellor, Student Life & Leadership

Dean of Students

Re: Recruitment process for job title

This letter is to request your approval to begin the recruitment process to hire a [career, contract, limited] appointment at %, title in the dept. to replace staff name and title reason for replacement.

Explanation of how this will effect the department and the impact on students.

Thank you.

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