Personnel Action Form

If the candidate is being recommended for a faculty position (full-time, part-time or adjunct), the candidate’s educational qualifications must be vetted against the Faculty Qualifying Credential document. Please describe in detail the candidate’s qualifications in accordance with this document.

Does the candidate meet required qualifications as noted in the advertisement and corresponding job description?

If this position requires the candidate to drive for College business, did the candidate pass the MVR check, which is conducted by Human Resources?

All regular (non-temporary) positions require the candidate to successfully pass a background check. Did the candidate successfully pass this assessment?

If the candidate will be working in a regular (non-temporary) position, did you contact Human Resources to check on the candidate's KPERS status?

Yes No Not Applicable

Is the candidate a KPERS retiree?

Yes No Not Applicable

Position Title:

Hiring Supervisor: Office or Program:

Position No. (if existing position):

Location: Select from list or Fill-in Other Barton County Campus Fort Riley Campus Grandview Plaza Fort Leavenworth Campus Other If Other, please describe:

Position Classification: Select From List President Vice President and Deans 9-10 Month Full Time Faculty 11-12 Mo FT Faculty-BT Campus 11-12 Mo FT Faculty-FR Campus AdjFac/ExemptStaff(NoBnfts) PT Faculty FT Exempt Staff FT Exempt Staff-Less Than 12 Mos. 55 PT ExmptSt (PartBenefits) FT Hourly Staff FT Hourly-Less Than 12 Mos. PT Hourly Staff (PartBenefits) PT Hourly Staff (No Benefits) PT Hourly Staff (Temp)

If a part-time (non-temporary) regular position, enter annual hours:

and number of weeks worked per year:

If candidate is not a current employee, is being hired into a (non-temporary) regular position, and the Board has yet to approve his/her hire, then the language "Hiring contingent upon Board approval." must be communicated to the candidate.

Type of Opening: Select from list Replacement Employee New Position New Adjunct Faculty Member Effective Date:

Hiring Supervisor (initiator), Director of Human Resources, Next Level(s) Manager(s) (if any), Applicable Member of President's Staff, Vice-President (Instruction and Student Services positions only) and President (regular positions only) who then forwards to the Director of Human Resources.

By clicking on the "Submit" button, the form will automatically be sent to the Director of Human Resources for processing.

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