Spreadsheet: 8a305fc0-4483-4844-96eb-f7b2ad652905
Sheet: Sheet1

OKLAHOMA STATE UNIVERSITY | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 |  | Unnamed: 26 | Unnamed: 27 | Unnamed: 28 | Unnamed: 29 | Unnamed: 30 | Unnamed: 31 | Unnamed: 32 | Unnamed: 33 | Unnamed: 34 | Unnamed: 35 | Unnamed: 36 | Unnamed: 37 | EMPLOYMENT ACTION | Unnamed: 39 | Unnamed: 40 | Unnamed: 41 | Unnamed: 42 | Unnamed: 43 | Unnamed: 44 | Unnamed: 45 | Unnamed: 46 | Unnamed: 47 | Unnamed: 48 | Unnamed: 49 | Unnamed: 50 | Unnamed: 51 | Unnamed: 52 | Unnamed: 53 | Unnamed: 54 | Unnamed: 55 | Unnamed: 56 | Unnamed: 57 | Unnamed: 58 | Unnamed: 59 | Unnamed: 60 | Unnamed: 61
Employee ID Number |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date of Birth |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Person on HRS? |  |  |  |  |  |  |  |  |  |  | Yes |  |  |  |  |  |  | No
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Appointment |  |  |  |  |  |  | Title Change |  |  |  |  |  |  | Retirement
Name (as shown on Social Security Card) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Promotion |  |  |  |  |  |  | Rate Change |  |  |  |  |  |  | Death
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Reappointment |  |  |  |  |  |  | FTE Change
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Transfer |  |  |  |  |  |  | Separation
Last |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | First |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Middle
PRESENT STATUS
OSU POSITION TITLE/PAY GRADE: (Class Code Title):
BIWEEKLY |  |  |  |  |  |  |  |  |  | MONTHLY
 |  |  | Job |  |  |  | Position |  |  |  |  |  |  |  | Begin |  |  |  |  |  | End |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Pay |  |  |  |  |  |  | Class |  |  |  |  |  | HRS |  |  |  | Assign
 |  |  | Code |  |  |  | Number |  |  |  |  |  |  |  | Date |  |  |  |  |  | Date |  |  |  |  |  |  | FTE |  |  |  |  |  |  | Hours |  |  |  |  |  |  | Rate |  |  |  |  |  |  | Code |  |  |  |  |  | Div |  |  |  | Dept
PROPOSED STATUS
OSU POSITION TITLE/PAY GRADE: (Class Code Title):
BIWEEKLY |  |  |  |  |  |  |  |  |  | MONTHLY
 |  |  | Job |  |  |  | Position |  |  |  |  |  |  |  | Begin |  |  |  |  |  | End |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Pay |  |  |  |  |  |  | Class |  |  |  |  |  | HRS |  |  |  | Assign
 |  |  | Code |  |  |  | Number |  |  |  |  |  |  |  | Date |  |  |  |  |  | Date |  |  |  |  |  |  | FTE |  |  |  |  |  |  | Hours |  |  |  |  |  |  | Rate |  |  |  |  |  |  | Code |  |  |  |  |  | Div |  |  |  | Dept
For New Temporary and Student Positions Only    LABOR DISTRIBUTION    For New Temporary and Student Positions Only
 |  |  |  |  |  |  |  |  |  | Proposed Status |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Proposed Status
Account |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Account
Number |  |  |  |  |  |  |  |  |  |  | Percent |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Start Date-End Date |  |  |  |  |  |  | Number |  |  |  |  |  |  |  |  |  |  | Percent |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Start/End Date
SEPARATION INFORMATION
 | Reason For Separation |  |  |  |  |  |  |  |  |  |  |  |  | Code |  |  |  |  |  |  | Effective Separation Date and Time |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Annual Lv Due |  |  |  |  |  |  |  |  | Comp Time Due |  |  |  |  |  |  |  | Unused Sick Lv
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | MMDDYYYY |  |  |  |  |  |  |  | AM |  |  |  |  | PM |  |  |  |  |  |  | (Hours) |  |  |  |  |  |  |  |  | (Hours) |  |  |  |  |  |  |  | (Hours)
FACULTY APPOINTMENT DETAILS
Academic Department Granting Rank: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Appointment Length: |  |  |  |  |  |  |  |  |  |  |  | Sem |  |  |  | 1 Yr |  |  |  | 3 Yrs |  |  |  | 4 Yrs |  |  |  | 5 Yrs
Academic Home Department Number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Dates of Appointment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | through
If Tenure Granted Previously, Date: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Notification Date for Reappointment:
Tenure Track: |  |  |  |  |  |  |  | Yes |  |  |  | No |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Assignment Length: |  |  |  |  |  |  |  |  |  |  |  | Sem |  |  |  | 9 Mo |  |  |  | 10 Mo |  |  |  | 11 Mo |  |  |  | 12 Mo
Action Grants Tenure: |  |  |  |  |  |  |  |  |  |  |  | Yes |  |  |  | No
This pay increase is recommended after review of performance, market, and equity. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Exempt from overtime |  |  |  |  |  |  |  |  |  |  | Yes |  |  |  |  | No
Signed:
This Form Prepared By: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date: |  |  |  |  |  |  |  | Ext: |  |  |  |  |  |  |  |  |  | Remarks:
Authorizing Signatures |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Authorizing Signatures