ACADEMIC AFFAIRS RECRUITMENT USE ONLY
Position action: _____________________________ Dean: __________ Budget Authority: __________ VP: __________ Grant Acctg: __________

HR/SWEC Only:
Tracking #

PAR Originator	Date	Phone	e-ID	MSC	Division
Section I: Employee Information
First Name:	Middle Name:	Last Name:	Suffix (i.e. Jr, Sr, III)
Employee ID:	Student ID: (for student employees only)	Social Security Number:
Section II: Assignment
Start/Effective Date:	End Date (Last day worked):	Replaces:	Class:	Shift:
Position #:	Department Name:	Dept/Org Code:	Account Code:
Section III: Action/Reason
Hire Rehire Transfer Additional Pay	Bonus Pay Position Change Data Change Pay Rate Change	Paid LOA Unpaid LOA Return from Leave Separation
Notes:
Section IV: Job Information
Compensation:	Amount:	Probation End Date:
Working Title/Rank:	Contract Terms:	Tenure Application Date:
Campus Address/Building:	Room:	MSC:	Work Phone:
Supervisor:	Supervisor Employee ID:	Supervisor Position #:	Supervisor e-ID:
Conditions of Employment:
FOR PART-TIME INSTRUCTIONAL FACULTY ONLY	Course #:	Section #:	Total credit/contract hours:
WHEN HIRING FOR ANY PART-TIME ASSIGNMENT: The average number of hours per week must be indicated here The projected total number of hours for this assignment must be indicated here Part-time employees are limited to working no more than 29 hours per week on average (a total of 1,500 hours maximum) over the course of the measurement period, May 1-April 30. Part-time hours are cumulative for all part-time work performed at JMU.	Hours per Week: Hours Total:
Section V: Signatures
Budget Authority	Date	Phone	e-ID	Human Resources - MSC 7009	Date	Phone	e-ID
Dean/AVP/Dir (If applicable)	Date	Phone	e-ID	Student Work Exp Ctr – MSC 3519	Date	Phone	e-ID
Grant Accounting (If applicable)	Date	Phone	e-ID	Payroll – MSC 5706	Date	Phone	e-ID
Vice President (If applicable)	Date	Phone	e-ID
Human Resources Use Only
HR:	Role Title:	Role Code:	Supervises Y/N	Restricted Y/N	Exempt / Non-Exempt
Effective Date:	Pay Band:	Approval:	Date:
PROG	S.PROG	ELEM	PROJ	COST	FUND	PERCENT	PSOFT	DATE
PMIS	TRANSCRIPTS

Personnel Action Request Form

Revised October 2022