PERSONNEL ACTION CONTROL FORM

Lock Haven University

Part I of II - Approval of Vacancy

NOTE:  This form must be completed ON BOTH SIDES and all approval signatures secured before any further hiring activities occur.

                                                                                                SAP Number: 

DATE: ______________________________

VACANCY IN THE DEPARTMENT OF: ______________________________

JOB TITLE:  Assistant Professor/Instructor                         Charge Budget:  __5011       01_________

                                                                                                Charge Grant No.:  ___________

APPOINTMENT EFFECTIVE:  ______________________________

APPOINTMENT IS:  (Check all that apply)

o     Permanent                                                        þ     Faculty

o     Temporary until  _____________                     o Managerial, (MGT or SUA)

o     Full Time                                                          o     Staff

o     Part Time (fraction of load ________)               o  Coach

o          Special, as follows:_________________________________________________________________

o      New Position

o     Replacement for: _________________________________________

PAY GRADE, STEP AND STARTING SALARY:  _Instructor, Step 1 or 2 without terminal degree or Assistant Professor, Step 1 or 2 with terminal degree

THIS REQUEST INITIATED BY:  ________________________________               ________

                                                                        (Signature)                                            Date

 APPROVED BY:  ____________________________________________________    ____________________

                                                Appropriate Dean/Director                                            Date

  APPROVED BY:  ____________________________________________________    ____________________

                                                            Provost                                                             Date

 APPROVAL TO CREATE/FILL VACANCY:  ___________________________________    ______________

                                                                             VP Fin and Admin                                        Date

 AFFIRMATIVE ACTION NOTIFICATION:  _____________________________________            ___________

(Signature)                                            Date:

JUSTIFICATION FOR FILLING OR CREATING VACANCY

The following is a detailed justification for filling the vacancy described on the reverse side:

 ____________________________________________________________________________________________

 ____________________________________________________________________________________________

 ____________________________________________________________________________________________

                                                Signed: ______________________________   Date: ___________________

Part II of II - Approval of Hire

HAVE THERE BEEN CHANGES IN THE DATA AS SUBMITTED ON THE ORIGINAL CONTROL FORM?  ________

            If no, seek signatures of Affirmative Action Officer & President.

            If yes, what were the changes and why were they made:

 ____________________________________________________________________________________________

 ____________________________________________________________________________________________

 ____________________________________________________________________________________________

Approval of Changes:  VP for Finance, Administration and Technology __________________________

 DATE:  _______

 NAME OF APPOINTEE:  ___________________________________________________

                        Last                                          First                              MI

PAY GRADE, STEP AND STARTING SALARY:  ,         Step         $          

AFFIRMATIVE ACTION COMPLIED WITH DURING SEARCH:

_______________________________________  Affirmative Action Officer             Date: ______________

 APPROVAL FOR APPOINTMENT:

 _______________________________________  Provost                             Date: ______________

 _______________________________________  President                          Date: ______________