Position Justification Form (Budgetary)

Complete this form to request additional headcount for your department. This form is to be used for full-time, part-time, temps anticipated for longer than two weeks and intern requests.

Position title:

Department:

Division:

Supervisor:

Start Month:

____ F/T ____ P/T _____ hours per week

____ Intern ____ Winter/Spring ____Summer ____ Fall/Winter

____ Temp (List start and end dates) _____________________________________

POSITION SUMMARY

What are the major responsibilities of this position? Why does this job exist? (Include 2-4 brief, clear, concise statements.)

What major new work will be done with the addition of this new position?

Why won’t repurposing existing headcount work?

What is the return on investment that you expect to receive from this position?

How does this position fit in with [company name’s] mission and/or what impact does this position have on achieving [company name’s] goals and objectives?

KNOWLEDGE/EXPERIENCE

What is the minimum level of education required for this position (i.e., Bachelor’s, 2-year technical degree, H.S. Diploma)?

Experience in what area(s) would be necessary for this job (i.e., sales, accounting, marketing, customer service)?

In addition to a degree, how many years of experience does this job require?

In lieu of a degree, how many years of experience does this job require?

Skills:

What are the skills necessary for this position?

____ Oral and written communication skills.

____ Presentation skills.

____ Decision-making skills.

____ Problem-solving skills.

____ Leadership skills.

____ Other: 

Ability to:

____ Interact in a positive manner with internal contacts.

____ Interact in a positive manner with external contacts.

____ Understand verbal/written instructions.

____ Complete tasks within critical deadlines.

____ Maintain highest level of confidentiality.

____ Knowledge/ability to use various software programs (Windows, Outlook, Excel, Word, email, etc.). List software used: ______________________________________________________________________

____  Use basic math skills.

____ Other:

FINANCIAL

List the financial responsibilities of the position (i.e., signing authority, expenditures, contract authority, etc.).

SUPERVISION EXERCISED

Which of the following best describes what supervisory responsibility the position has?

____ No supervisory responsibility.

____ No direct supervisory responsibility, provides assistance to lower level employees.

____ Limited supervision, allocates and organizes work, provides guidance.

____ Direct supervision of at least one employee.

What position(s) does this position have direct responsibility for managing (including recruitment, selection, performance management)?

SALARY FOR THIS POSITION __________________________________________

Signatures

Hiring Manager:

Division Chief:

Executive Management Committee :

Please send this completed form to HR

For internal use only (Executive Management Committee)

Date: ______________________

____ Approved

____ Denied

REASON: