arkansas state university assignment/change formproposed detail (all assignment types) change type...

Proposed Detail (All Assignment Types)

Change TypeArkansas State University Assignment/Change Form

ASU ID

Dept Contact Phone

Employee Name

Dept Contact

Grade

Benefits

Full-Time Part-Time

Position Title

FTE

Term

Work Load %

Yes No

Dept Head

Dean/Admin

VC

InternationalSalary

Position

NoYes

Teaching Admin Research Other

FUND ORGN ACCT PROGBUDGET

Page LineANNUAL SALARY

EFFECTIVE DATES

ToFrom% TO BE

PAID

Present Assignment Detail (Overload, Assignment Change, Salary Change, Supervisor Change)

Approvals Initial Date DateInitial

Justification

DateSignature

College/DeptDept Orgn

Undergraduate Student Graduate Student Non Student

IDAppr Name IDSupr Name Appr Orgn

Financial Aid

International

Sponsored Prog

Budget

HR

PayrollGrad School

Supr Posn

Grade

Benefits

Full-Time Part-Time

Position Title

FTE

Term

Work Load %

Yes No

InternationalSalary

Position

NoYes

Teaching Admin Research Other

FUND ORGN ACCT PROGBUDGET

Page LineANNUAL SALARY

EFFECTIVE DATES

ToFrom% TO BE

PAID

Undergraduate Student Graduate Student

IDAppr Name IDSupr Name Appr OrgnSupr Posn

Change Reason

Non Student

Revised 01/13/2016

Personal Email

Employee Work Phone