HR Action Request Form » Department of Clinical and Health Psychology » College of Public Health and Health Professions

Name:*

Name of the person submitting this form

First Last

I would like to:

Hire an Employee or Volunteer
Make a change to an existing employee's position
Terminate an Employee

Effective date of requested change

I would like to change my employee's*

Click here to see how many hours per week are equivalent to an FTE.

FTE
Salary
Both

Position Information*

Provide the following information about the employee whose position you would like to change.

Employee Name	Employee UFID #	Current FTE	New FTE

Position Information*

Provide the following information about the employee whose position you would like to change.

Employee Name	Employee UFID #	Current Salary	New Salary

Reason for Change:

Provide a brief statement justifying the need for this change.

Termination information:*

Employee Name	Employee UFID	Last Day of Employment

Resignation Letter*

Please upload a brief, signed and dated letter from the employee stating their resignation and final day of employment.

Max. file size: 125 MB.

Personal/Forwarding Email Address for Employee:

Does the employee have any of the following?*

If the employee has any of the below items, the employee must turn them into HR on or before their final day of employment. Gator1 Cards should also be returned (unless the employee is a student).

Select All
HPNP Room Key
Other Building Room Key
Key Fob
PCard
None of the above
EPIC Access

I would like to hire a(n):*

TEAMS Employee
Postdoctoral Associate
OPS Employee
Volunteer

All hires should be approved by the Department Chair prior to submitting this form. Please upload email confirmation of that approval.*

Drop files here or

Max. file size: 125 MB.

Who will supervise the positon?*

Be advised that OPS cannot officially supervise any salary plan, and TEAMS cannot supervise at or above their own title, e.g. a Research Coordinator I cannot supervise another Research Coordinator I, nor a Research Coordinator II.

Who is the Faculty Supervisor for this position?*

Source of Funding*

Grant

Project Number(s):*

Please list the project number(s) from which the employee will be paid and the percentage they will be paid from each project.

Project Number	Percentage	Payroll Start Date	Payroll End Date	Project End Date

What is the FTE?*

Click here to see how many hours per week are equivalent to an FTE.

In which room will the employee be housed?*

Does this position need to be posted to the job board?*

For OPS and Postdoctoral Associate positions it is not necessary to advertise the position on the job board if you already have a candidate in mind.

Yes
No

Will the employee have any clinical assignment?*

Yes
No

Who will be conducting the interviews for this position?*

What is the anticipated work schedule for this positon?*

Include regular schedule as well as any expectation of overtime or work outside of typical business hours. Example: Monday – Friday 8:00 – 5:00pm. Additional hours possible as needed during peak times and for special projects.

Would you like to receive transcripts as a part of the application review process?

Official transcripts are always required for hire. Only select "Yes" if you would like to review transcripts as a part of the decision-making process.

Yes
No

What is the preferred start date for the employee?*

Please be aware that we may not be able to guarantee your preferred start date due to HR Deadlines and other factors. We will start the employee as close to your preferred date as possible.

Will the employee have Patient Contact or contact with Bloodborn Pathogens?*

Employees having contact with patients or with human blood will require a health assessment and/or additional trainings. Please review the descriptions for Patient Contact and Contact with Human Blood and select any that are applicable below. To select more than one option, press the "Ctrl" button while highlighting.

Where will the patient contact take place?*

CHP Clinic, Fixel Center, etc.

Name of Candidate:*

First Last

Hidden

Email Address of Candidate:*

UFID of Candidate (if applicable):

If candidate does not yet have a UFID this may be left blank.

What is the hourly rate for this position?*

Job Duties:*

Please write a brief (1-3 sentence) description of the job duties for this position.

What is the pay range for this position?*

Positions posted to the job board must have a pay range. For salaried positions, we suggest the range being 5K to 10K with the high end being the top you are willing to pay. For hourly positions, the range should be between $5-10 an hour with the high end being the top you are willing to pay.

What is the pay range for this position?*

Positions posted to the job board must have a pay range. For salaried positions, we suggest the range being 5K to 10K with the high end being the top you are willing to pay. For hourly positions, the range should be between $5-10 an hour with the high end being the top you are willing to pay.

How long would you like the position to post?*

Keep in mind that we always have the option to repost if you do not receive an adequate pool from the intial time period.

7 days
14 days

How long would you like the position to post?*

Keep in mind that we always have the option to repost if you do not receive an adequate pool from the initial time period.

7 days
14 days
Open Until Filled

Advertising Summary:*

Please write a brief (1-3 sentence) advertising summary for this position. This is the portion of the job description that will be seen when candidates scroll through positions on jobs.ufl.edu.

Advertising Summary:*

Please write a brief (1-3 sentence) advertising summary for this position. This is the portion of the job description that will be seen when candidates scroll through positions on jobs.ufl.edu.

Minimum Requirements:*

Candidates who do not meet the minimum requirements will not be hired, so please keep this section brief. You can further narrow the selection in the Preferred Qualifications section. For example, we would recommend using "A doctoral degree in neuropsychology or another relevant area of study" a minimum requirement rather than only "A doctoral degree in neuropsychology" in case you find a promising applicant who has a degree in neuroscience with relevant experience.

Minimum Requirements:*

Candidates who do not meet the minimum requirements will not be hired, so please keep this section brief. You can further narrow the selection in the Preferred Qualifications section. For example: If a minimum requirement is "Bachelor's Degree" you will be unable to hire a candidate with an Associates Degree and four years of relevant experience, even if you like them. To avoid this, write "Bachelor's Degree, or equivalent combination of education and experience."

Minimum Requirements:*

Candidates who do not meet the minimum requirements will not be hired, so please keep this section brief. You can further narrow the selection in the Preferred Qualifications section. For example: If a minimum requirement is "Bachelor's Degree" you will be unable to hire a candidate with an Associates Degree and four years of relevant experience, even if you like them. To avoid this, write "Bachelor's Degree, or equivalent combination of education and experience."

Job Description:*

Provide the full job description for the position. We will review prior to posting and will email you if we have any edits.

Name of Volunteer:*

First Last

Hidden

UFID # of Volunteer:*

Gatorlink Username of Volunteer:*

Email address of Volunteer:*

Please upload the below completed forms and a screenshot of the volunteer’s HIPAA transcript found at found at https://mytraining.hr.ufl.edu/.*

Record of Volunteer Service and Emergency Contact Form

Drop files here or

Accepted file types: jpg, pdf, png, doc, docx, Max. file size: 125 MB.

Please confirm that the following trainings are current for the volunteer. HIPAA must be renewed annually, if the expiration date is near, please have the volunteer retake the training and attach a screenshot of the transcript to this form.*

IT Access cannot be granted until all of the below have been completed. Please check the Training Tracker for instructions and to see if additional trainings are needed.

HIPAA – General Awareness, PRV800
Compliance: A Collaboration for Success! OOC101
Maintaining a Safe and Respectful Campus GET803
Confidentiality Statement & Health Information Policy

What is the start date for the volunteer?*

What is the anticipated end date for the volunteer?*

IT Access:*

Please check any access the employee will require.

Select All
EPIC
OnBase
ExacqVision
S or P Drive Access
N/A

What folders does the employee need access to?

Office Phone Number*

Position Description

The remaining fields will help us put together the position description for your TEAMS posting. Click the links to see examples, which can be used to give an idea of the type of language typically used in position descriptions.
Research Coordinator I
Counselor

Position Title:*

Be advised that the official title is ultimately driven by the position description and UFHR guidelines, but we can discuss working titles as needed.

Job Functions and Percentage of Time Spent on Each Function*

List each essential function and assign a percentage based on the amount of time spent on that function. Percentages should not exceed 50%. 5% - 10% should be allocated toward "Perform other duties as assigned."

Expected Work Schedule*

Specify days and hours this position is required to work as well as any variations from this schedule (ex: on call, shift rotations, seasonal extended hours, travel, etc.)

Preferred Qualifications:*

Please note that for TEAMS postings minimum qualifications are determined at the University level and cannot be altered, however preferred qualifications can assist you in narrowing your applicant pool.

Will the employee have any supervisory responsibilities?*

Yes
No

Who will this employee supervise?*

Indicate both the name and either TEAMS, OPS, Student Assistants, GAs, Volunteers, etc. Please be aware that employees are not able to supervise employees in their own title, or higher (e.g. A Research Coordinator I cannot supervise another Research Coordinator I, nor a Research Coordinator II.

Licenses and Certifications*

Are any special licenses, certificates, or other special requirements required for this candidate (i.e. Driver's License, Phlebotomy Certification, etc.)

Other Characteristics:

If Applicable: Describe other characteristics of the position such as physical, mental, and environmental factors essential to the satisfactory performance of the functions of the position, machines and equipment used regularly by the position, or other characteristics, which have not otherwise been described in the position description.

Will the employee require after hours building access?*

Yes
No

Will the employee have any fiscal responsibilities?*

Making orders, paying vendors, etc,

Yes
No

Will the employee require a Pcard?*

Yes
No

Policy Making and/or Interpretation:

Describe if this is applicable to the position.

Program Direction and Development:

Describe if this is applicable to the position.

Communication:

Describe if this is applicable to the position. Provide a statement of internal and external business contact, including frequency and scope.

Monetary Responsibility:

Describe if this is applicable to the position. Include amount and consequence of error.

Creativity, Strategy, and Leadership:

Describe if this is applicable to the position.

If there is anything further we should know, please detail below: