/ / DAVIDGEFFENSCHOOL OF MEDICINE at UCLA
Management & Senior
Department Code / Comp. Analyst DATE / Professional Program
JOB DESCRIPTION
DO NOT WRITE IN SHADED AREA – SOM HUMAN RESOURCES USE ONLY
REASON FOR PREPARING DESCRIPTION:NEW POSITION RECLASSIFICATION REQUESTED UPDATE/REVIEW REQUESTED UPDATE/FOR RECORDS ONLY*
INCUMBENT’S NAME / DEPARTMENT / % OF TIME / CAREER MSP CONTRACT
LIMITED
PRESENT PAYROLL TITLE / TITLE CODE / WORKING TITLE IF DIFFERENT / REQUESTED PAYROLL TITLE / REQ.
SUPERVISOR’S NAME / PAYROLL TITLE
DEPARTMENT HEAD’S NAME / TITLE
INSTRUCTIONS: Attach the following and submit to David Geffen School of Medicine Office of Human Resources.
- Brief, narrative description of the nature and purpose of the organization; description of the context in which the position provides support to accomplish the departmental objectives; and extent of authority to take action for each major function assigned, the impact of those actions and any responsibility for policy formulation.
- Current organizational chart.
- Basic Science or Clinical Administrator addendum (if appropriate)
- Cover letter from Chair/Department Head summarizing basis for requested classification, proposed effective date and salary.
LIST ANY LICENSES, CERTIFICATES, DEGREES OR CREDENTIALS THAT ARE REQUIRED BY LAW FOR THE JOB.
SIGNATURE (SIGNATURES INDICATE NEITHER AGREEMENT NO DISAGREEMENT WITH THE CLASSIFICATION REQUESTED).
EMPLOYEE - CERTIFY THAT THE INFORMATION IMMEDIATE SUPERVISOR - I HAVE REVIEWED DEPARTMENT HEAD - I HAVE REVIEWED
ON THIS FORM IS CORRECT AND COMPLETE AND THE STATEMENTS ON THIS FORM AND CERTIFY TO THE STATEMENTS ON THIS FORM AND CERT-
DESCRIBES MY JOB AS I UNDERSTAND IT. THEIR ACCURACY. IFY TO THEIR ACCURACY.
SIGNATURE /DATE SIGNATURE /DATE SIGNATURE/DATE
Directly supervises the following employees: / Supervises through subordinates:
Name
/Job Title
/# of Employees
/Job Title
FISCAL RESPONSIBILITY: Report annual revenue/expenditures by fund source (e.g. departmental fund. Contract and grants, income) and FTE’s for the preceding fiscal year and current fiscal year.
FUND SOURCE / PRECEDING FISCAL YEAR / CURRENT FISCAL YEARREVENUE
EXPENDITURE
CONTRACTS AND GRANTS
DEPARTMENTAL FUNDS
FTE
OTHER FACTORS: State other responsibilities, skills and knowledge, including features that are unique to your position that should be considered in making a classification determination.