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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