UNIVERSITY OF PENNSYLVANIA HUMANRESOURCES/COMPENSATION

POSITION INFORMATION QUESTIONNAIRE SHORT FORM

Check if new position is being createdDate:

Job Title: ______

Employee Name: ______

Job Class Code/Grade: ______

Penn ID: ______

School/Center: ______

Supervisor’s Name: ______

Department:

Supervisor’s Title:

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POSITIONSUMMARY:Ina fewsentences,describetheprimaryfunctionandpurposeoftheposition.

PRINCIPALPOSITIONREPONSIBILITIES/DUTIES:List uptoten majortasksstartingwiththemostimportantforwhichthe positionisresponsible.Includetheestimatedpercentageoftimespentonperformingthetask,withnotaskmorethan50%. Placean asterisk(*)intheEssentialFunctioncolumntodesignateanessentialfunctionofthejob.Atleast50%ofthejobmustbedesignated “Essential”.

RESPONSIBILITIES/DUTIES / Estimated
%of Time / Essential
Function
1
2
3
4
5
6
7
8
9
10 / Perform additional dutiesas assigned / 5%
100%

Identifyanyoftheabovelistedtasksthat wereaddedinthelastyearbylistingtherelatednumbers:

.

JOBEVALUATION FACTORS: Listed beloware job evaluationfactors. Checkthe single best answerthatapplies. (Referto PIQ

guidelinesfor definitions.)

PositionEvaluationFactorResponseKeyWords

Q1[] 1H.S.Diploma orGED preferred

FormalEducation / [] / 2 / H.S.Diploma orGEDrequired
(Minimumeducationreq.) / [] / 3 / VocationalorTechnical Schoolrequired
[] / 4 / Associate’s Degree orTwoYearCollege equivalentrequired
[] / 5 / Bachelor’s Degree required; Major(optional)
[] / 6 / Master’s Degree required;Major(optional)
[] / 7 / M.D.,Ph.D.,LawDegree orequivalent doctoraldegree required

Q2[] 10to1year[] 55to7years

MinimumExperience / [] / 2 / 1to2years / [] / 6 / 7to 10years
(Minimumexperience req.) / [] / 3 / 2to3years / [] / 7 / Over 10years
[] / 4 / 3to5years
Q3a / [] / 1 / Daily / [] / 5 / FourtoTwelve Months
Planning Scope / [] / 2 / CurrentWeek / [] / 6 / One toThree Years
(Highest level ofplanningreq.) / [] / 3 / One toFour Weeks / [] / 7 / Three Years or More
[] / 4 / One toThree Months

Q3b[] 1Individual(positiononly)

PlanningLevel[] 2Unit orequiv.(15 facultystaff)(Level ofprimaryscope of [] 3Sectionorequiv.(> 15facultystaff)

planning)[] 4Department orequiv.(> 15facultystaff)

[] 5School/Center

[] 6University-wide

Q4a / [] / 1 / None / [] / 4 / Recommending
Impact onOperatingBudget / [] / 2 / Incidental / [] / 5 / Controlling
[] / 3 / Supportive / [] / 6 / Delegating

Approximate SizeofBudget $

Q4b / [] / 1 / None / [] / 4 / Recommending
ImpactonGrantFunds / [] / 2 / Incidental / [] / 5 / Controlling
[] / 3 / Supportive / [] / 6 / Delegating

Approximate SizeofBudget $

Q4c / [] / 1 / None / [] / 4 / Contributory
Impact onRevenue Generating / [] / 2 / Indirect / [] / 5 / Majorimpact
[] / 3 / Supportive / [] / 6 / Directing

Approximate SizeofBudget $

Q5 / [] / 1 / Standardized:duties arefewandrepetitive
Complexity / [] / 2 / Routine:routine tasks, processes, oroperations
[] / 3 / Basic:moderatelycomplexprocedures andtasks
[] / 4 / Varied:complex andvariedwork
[] / 5 / Analytic: non-standardizedandwidelyvariedwork
[] / 6 / HighlyComplex: broadinscopecoveringone ormore complicatedareas
[] / 7 / Multifaceted: broadinscope coveringthe entire University’s operations
Q6 / [] / 1 / Standardized:little independentjudgmentrequired
DecisionMaking / [] / 2 / Routine:limitedopportunityforindependentjudgment
(Level ofdirection / [] / 3 / Basic: providedonanasneededbasis; some independentjudgment necessary
supervision) / [] / 4 / Varied:establishgeneralobjectives relative to project;independentjudgmentrequired
[] / 5 / Analytic:establishandreviewbroadobjectives relative toduties/responsibilities
[] / 6 / HighlyComplex:reviewestablishedobjectives/recommend department/schoolobjectives
[] / 7 / Multifaceted:reviewandapprove majorrecommendations; establish procedures
Q7 / [] / 1 / Problems solved byreportingthemtoa supervisor
ProblemSolving / [] / 2 / Problems solved bytalkingwitha supervisor
(Typicallevelencounteredover / [] / 3 / Solutions foundbyselectingfromspecific choices definedinstandardwork policies
extensive period oftime) / [] / 4 / Solutions foundbyusing methods chosenbefore insimilarsituations
[] / 5 / Problemsolvinginvolves identificationandanalysis ofdiverseproblems
[] / 6 / Problems are complex,variedand only mildlyrelatedtothoseseenbefore
[] / 7 / Problemsolvingrequiresunderstanding andevaluation ofimpact upontheUniversity
Q8a / [] / 1 / Little ornocontact
InternalContacts / [] / 2 / Regular contactwithin departmentperiodic contactwith other departments
[] / 3 / Regular contactwithin departmentwithotherdepartments;supplyinginformation
[] / 4 / Regular contacttocarryoutprograms; occasionallywith officials at higherlevels
[] / 5 / Regular contacttocarryoutprograms; continuing contacts with officials at higherlevels
[] / 6 / Regular contactwithinternalpersonsofimportance andinfluence
[] / 7 / Continuing contacts involving difficultformal negotiations
Q8b / [] / 1 / Externalcommunicationwith others is minimal
ExternalContacts / [] / 2 / Occasionalcontactwithoutside agencies &general public supplyinginformation
[] / 3 / Regular contactwith outside agencies &general public supplying/seeking information
[] / 4 / Regular externalcontacts toexplainspecializedmatters,occasionallytoenforce policies
[] / 5 / Regular externalcontacts,withcontinuingpersonalcontacttoenforce policies
[] / 6 / Regular contactwithexternal persons ofimportance andinfluence
[] / 7 / Continuing externalcontacts involvingdifficultformal negotiations
Q9a[] 1Noresponsibilityorauthorityfordirectionofothers
SupervisoryResponsibility[] / 2 / Authoritylimitedtodirection ofstudent/ortemporaryworkers
[] / 3 / Orient/trainothers; mayactinaleadcapacity
[] / 4 / Provide limitedsupervisionforone ormore functions withina department(functional)
[] / 5 / Make recommendationsre:HR issues; plan/assign/evaluate workofstaff (bonafide)
[] / 6 / Supervise multiple functions,withfullresponsibilityfor effectiveoperationresults
[] / 7 / Overallresponsibilityto providedirection and guidance forPenn

Number ofDirectReports Number ofIndirectReports

Q10a / [] / 1 / Basic Skills / [] / 5 / EntryProfessional Skills
Job-RelatedKnowledge / [] / 2 / Intermediate Skills / [] / 6 / Advanced Professional Skills
(Knowledge &skillrequiredto / [] / 3 / Advanced Skills / [] / 7 / MultipleProfessionalSkills/ExternalExpert
performjob) / [] / 4 / FormalTechnical Skills
Q11
Innovation/Creativity / [] / 1 / Opportunities forinnovations arerare
[] / 2 / Improvedmethods affectthe immediate department
(Degree jobrequires developing/ / [] / 3 / Improvedmethods affect deliveryofservicetoselectedcustomerorstudents
improvingprocedures,policies / [] / 4 / Results impactseveralwork groups,a large projectoranextended customer base
systems,etc.) / [] / 5 / Results generallyaffecta school/center withinthe University
[] / 6 / Results generallyaffectseveralschools/centers
[] / 7 / Results generallyaffectthe Universityas awhole; impactcompetitive position

ORGANIZATIONCHART:

(Usestaffmembernamesand positiontitles)Manager/Supervisor

PeerPositionThisPositionPeerPosition

ReportingPositionReportingPositionReportingPosition

WORKINGCONDITIONS/PHYSICAL EFFORT/RESOURCEEXPOSURE:(Checkas manyasapply)

WorkingConditions

[] / Office,library,computerroom / [] / Requiresextensivesafetytraining / [] / Exposuretochemicals
[] / Stockroomorwarehouse / [] / Alternativeworkschedules / [] / Outdoorexposuretoweather
[] / Highnoiseenvironment / [] / On-Call(beeper) / [] / Requiresprotectivedevices
[] / Highdust,dirt, greaseenvironment / [] / Exposuretomovingmachinery / [] / Extensivetravel(1000mi./month)

PhysicalEffort

[] Typicallysittingata deskortable[] Typicallyrunning,climbing[] Frequentlifting25lbs.ormore

[] Occasionallifting25-50lbs.[] Occasionallifting25lbs.orless[] Climbingladders/scaffolds

[] Typicallystandingorwalking[] Intermittentlysitting/standing/stooping[] Usingtoolsrequiringhighdexterity

[] Typicallybending,crouching,stooping

ResourceExposure

[] Handlecreditcards(customercards,PurchasingCard,orPennCards)

[] Purchasesuppliesormaterialforthedepartment/organization

[] Havefinancialcontroloforaccesstobudgets,resources,salaries,orothersensitivedata

[] Haveaccesstoprivateinformationsuchas SSN,creditcard,personaldata,orfinancialdata for students,alumni,staffor faculty

[] Haveaccessto sensitivedatarelatedtoresearchprojectsandgrantssuchasintellectualproperty(notHIPPAinformation)

[] Beinvolvedwithpatient/animalcare

[] Havecontroloformanagegrantfunds

[] Handlecontrolledsubstancessuchaspharmaceutical,radiologicalor hazardousmaterials

[] HavebroadaccesstoUniversitybuildings(keys/PennCard,locksmith,custodian,etc.)

[] Workwithchildrenundertheageof18orelders

[] Liveina Universityresidence/studentdormitory

[] Operatea Universityvehicleordrivea vehicleonUniversitybusiness

[] BackgroundcheckisrequiredbyFederal,State,orlocalregulationsorexternalregulatoryagency

[] Noneoftheabove

EmployeeComments:

SupervisorComments:

Employee’sSignature:

Date:

Employee’sName(pleaseprint):

Supervisor’sSignature:

Date:

Supervisor’sName(pleaseprint):

Supervisor’sTitle:

DepartmentHead’sSignature:

Date:

DepartmentHead’sName(pleaseprint):

DepartmentHead’sTitle:

POSTINGINFORMATION:(TOBE COMPLETEDONLYIFPOSITIONISTOBEPOSTED)

Writesummaryofpositionforpostingpurposes.

DUTIES:(Descriptionshouldbebriefandonlyincludeprincipleduties.)

QUALIFICATIONS:(Qualificationsshouldclearlyindicatethosethatarerequired andthosethatarepreferred.)

Supervisor’ssignature

Date: