WVU Employment/Position Information Sheet

  1. Position Title:
  1. Additional titles/assignments (e.g. as per offer letter):
  1. Degree requirements
  2. Type of degree(s) required (e.g., PhD, EdD, MD, DO, JD):
  3. Are equivalents(including foreign equivalents) acceptable?: Yes/No
  4. Major/field of study:
  5. Are closely related fields accepted?: Yes/No

If yes, please list all related fields:

  1. Supervisor for this position
  • Name:
  • Title:
  1. Teaching

Does this position contain teaching duties? Yes/No

If yes:

  • Course type (undergraduate/graduate/other):
  • List the name of the courses to be taught:
  • If other, please describe:
  1. Supervising Duties

Does this position supervise the work of other employees (excluding student workers): Yes/No

If yes, does this supervision include hiring and firing authority? Yes/No

  • Number of employees worker will supervise:
  • What is the level of the employee(s) to be supervised (subordinate orpeer):
  • What are the position title(s) of the workers that will be supervised:
  1. Travel

Will travel be required in order to perform job duties? Yes/No

If yes, please explain the travel requirements:

  1. Training

Is training (e.g. residency, fellowship) for the job opportunity required? Yes/No

If yes:

  • Indicate the type and field for each type of training required (e.g. residency Internal Medicine):
  • Specify the number of months for each type of training required:
  1. Experience

Is experience required? Yes/No

If yes:

  • Indicate the occupation/fieldin which experience is required:
  • Specify the number of months of experience required:
  1. License

Is a license required (e.g., driver’s license, medical license)? Yes/No

If yes, please specify the type of license:

Worksites (must be addresses where worker will be PHYSICALLYperforming work/services):

  1. PRIMARY worksite

Name of department/unit/office:

Building & Floor or Room Number:

Street (no PO Box):

City:

County:

State:

Zip Code:

  1. ADDITIONAL worksite(s)

Will work be performed in other locations than the address listed above (classrooms do not need to be listed but research laboratories, treatment facilities etc. need to be listed)? Yes/No

If yes:

a)How often will employee be working there?: (a day once a week, one day every six months etc.)

b)Provide a detailed address for each additional worksite

Name of department/unit/office:

Building & Floor or Room Number:

Street (no PO Box):

City:

County:

State:

Zip Code:

  1. FUTURE worksite(s)

Are there any worksites that are being anticipated in the future? Yes/No

If yes:

a)How often will employee be working there?: (a day once a week, one day every six months etc.)

b)Provide a detailed address for each additional worksite

Name of department/unit/office:

Building & Floor or Room Number:

Street (no PO Box):

City:

County:

State:

Zip Code: