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Job Evaluation Form 1

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Job Evaluation Form 1
Job Evaluation Form 1
JOB EVALUATION QUESTIONNAIRE
ANSWER SHEET
DO NOT WRITE IN THIS SPACE
N.C.
Date Received Reclass
or
Survey
JEQ # Class Title Class #
Schedule/Range/BU
Monthly Min - Max New Probationary Period Yes No NA
New Starting Date in Class
Yes No NA
(NA if Temporary Job)
Notice #
Effective Date
If Reclassified, is Incumbent Certifiable
Yes No
Approved For: Date
Notice
Letter
Personnel Notes
Reviewed By:
THIS FORM IS TO BE USED WITH THE JOB EVALUATION QUESTIONNAIRE (BA 802) ONLY FOR POSITIONS
COVERED BY CIVIL SERVICE OF AFSCME UNIT 6 OR 7, EXCLUDING RATE ARRANGED POSITIONS.
RECLASSIFICATION REQUEST OR SURVEY:
Employee completes and forwards to supervisor for completion. Supervisor forwards to the Department Head and Dean or
Vice President, for approvals, and then to the Human Resources Consultant.
Please note that reclassifications or survey requests are to be submitted ONLY when substantial changes in the assigned
duties have occurred. Reclassifications/surveys SHOULD NOT be requested to:
1) reward meritorious performance; 2) Recognize increases in the volume of work assigned to a position; or 3) Address any
other minor changes in assigned responsibilities.
For interpretation clarification, contact your Human Resources Consultant.
Please Type or Use Black Ink In The Completion Of This Form
COMPLETE ALL SECTIONS IN THIS SPACE
Empl ID
Name (First) (Middle) (Last)
Phone #
( ) -
Department/Entity
Campus Mailing Address
Fund & DeptID (Combo Code)
Present Class Title
Class # BU Code Student
Yes
No
Temp Position
Yes
No
Requested Class Title
Class # BU Code Reclass
Survey
Vacancy
Payroll
Biweekly
Regular
SUPERVISOR: Describe the major responsibilities of this position and indicate the percent of time spent on each one, or attach a
current job description which includes the percent of time spent on each major responsibility.
Yes No Do the current job duties require a typing speed of 50 words per minute
Yes No Do the job duties require more than 80% of the time to be spent doing word processing
Please read the instructions on page 1 of the Job Evaluation
Questionnaire thoroughly before completing this answer sheet.
University of Minnesota BA Form 803 GS92167
Job Evaluation Form 1
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