UCLA MEDICAL ENTERPRISE
STAFF EMPLOYMENT REQUISITION
WHEN THE FORM SHOULD BE COMPLETEDFor UCLA Medical Center and Santa Monica Medical Center:
A requisition should be prepared for all vacant career, casual and per diem positions.
For NPI/H and School of Medicine:
A requisition should be prepared for all vacant career positions, casual with the likelyhood of becoming career, casual and perdiem positions when recruitment assistance is required.
GUIDELINES FOR COMPLETING THE FORM
Job Summary
Describe the purpose of the job, e.g., Staff Pharmacist II, and briefly summarize the essential functions to the job. Essential functions are the fundamental job duties that an employee must be able to perform, with or without reasonable accommodation. Do not list any non-essential, marginal job functions or state “see attached job description.”
Ü Begin each sentence with a meaningful action verb in the first person, present tense, e.g., write, type.
Ü Use common, easily understood terms and avoid jargon. Spell out common abbreviations.
Skills, Knowledge, and Abilities
List the skills, knowledge and abilities which you will use as criteria for making your selection decision, e.g., working knowledge of WordPerfect. First list those qualifications that are essential to satisfactory job performance and then list any qualifications that are preferred. Knowledge of University of California specific policies and practices, if included, should be preferred rather than required.
Specify licenses, certificates or credentials required by law to perform the job such as California Driver’s License or a California Psychiatric Technician License.
Include at the end of this section statements regarding unusual working hours, e.g., required to work occasional overtime and some weekends. Also indicate any special requirements for the position such as:
Position designated as sensitive and subject to background investigation.
Position subject to University Conflict of Interest Code.
Position subject to DMV pull requirements of the California Commercial Motor Vehicle Safety Act of 1988.
ROUTING OF THE FORM FOR UCLA MEDICAL CENTER DEPARTMENTS
For Medical Center Departments only
1. MS Mail the completed requisition document to the Department Head for approval
2. The Department Head MS Mails approved requisition to the Associate Director for approval
3. Associate Director reviews and MS Mails approved requisition to the following mail box
For Santa Monica/UCLA MC, NPI/H and School of Medicine Departments
Please refer to your respective personnel offices for routing instructions.
UCLA MEDICAL ENTERPRISE
STAFF EMPLOYMENT REQUISITION
PLEASE BEGIN FILLING IN THE FIELDS, USING TAB AND SHIFT+TAB TO MOVE BACK AND FORTH. / REQUISITION NO.CLASSIFICATION / TITLE CODE / DEPARTMENT / DEPT. CODE
DUTIES TO BE PERFORMED ON THE JOB.
SKILLS, KNOWLEDGE AND ABILITIES ESSENTIAL TO PERFORM THE JOB.
WORK LOCATION / WORKING HOURS & DAYS / PAY RANGE / PSS / MSP / SMG
(1) CAREER / (2) LIMITED APPOINTMENT / (3) CASUAL-RESTRICTED / (4) PER DIEM
NEW POSITION / REPLACEMENT FOR: / TITLE CODE:
% OF TIME: FIXED
VARIABLE / ER CODE UNIT
/ DURATION / START DATE / BUDGET NO.
TO BE INTERVIEWED BY / BUILDING & ROOM / MAIL CODE / PHONE
/ FAX
PERSON TO RECEIVE ACKNOWLEDGMENT / BUILDING & ROOM
/ MAIL CODE / PHONE
/ FAX
ADDITIONAL COMMENTS
APPROVAL
(Please type in your name or initials)
DEPARTMENT HEAD
DATE / ASSOCIATE DIRECTOR (MC ONLY)
DATE / DEPUTY DIRECTOR (MC ONLY)
DATE
FOR PERSONNEL USE ONLY
EMPLOYMENT REPRESENTATIVE DATE PROCESSED / DATE RECEIVED
COMPENSATION ANALYST DATE PROCESSED / DATE RECEIVED
BULLETIN POSTING DATE / CLOSING DATE / RERUN DATE (IF NECESSARY)
Revised 7/25/96 -- (1st revision)
UCLA MEDICAL ENTERPRISE
STAFF EMPLOYMENT REQUISITION
(If justification is needed please complete this section)