POSITION ESTABLISHMENT FORM Please send to Senior HR Officer for checking prior to approval HR ENDORSED POSITION DESCRIPTION APPROVED and ATTACHED? (PROFESSIONAL STAFF ONLY) Yes No (Refer to the HRAM) Creation of New Position (If Professional Staff Position Refer to Establishment Guidelines) Close an Existing Position (position must be vacant before it can be closed) Vacant Modification of Existing Position Vacant Occupied Indicate modification category below NB: If making an adjustment to Classification – Supporting Material Attached Position/Business Title an occupied position, ensure Change of Cost Centre Fixed-term End Date Status (Ongoing / Fixed-Term) that a new employment contract Location - Campus Reporting Line Other is issued where necessary. POSITION DETAILS Position Number: Classification: Business Title: School / Centre: Business unit: Reports to (name): Reports to Reports to (position title): (position number): Position Location JO ML SW ML&JO Off Campus within WA Building No: Off Campus outside of WA: NSW / VIC / TAS / NT / QLD / SA Room No: Off Campus outside of Australia: Please state country: Work Phone: Ongoing Full-Time 100% FTE Fixed-term Full-Time 100% FTE Position status: Ongoing Part-Time (Indicate FTE %) % Fixed-term Part-Time (Indicate FTE %) % Date effective: (For Ongoing) For Fixed-term (From: To: ) SPECIAL CONDITIONS ATTACHED TO THE POSITION (if in doubt, discuss with HRAM) Pre-Placement Medical & Health Statutory Declaration Medical Health Assessment Required Working with Children Check National Police Check 50(d) Identified Indigenous Position WA driver’s licence Immunisation Details: Other Special Licences (please indicate) Details: Professional registration/membership Details: Other (e.g. ASIO, Financial Regulatory, Details: etc.) REASONS TO CREATE/MODIFY/CLOSE FUNDING DETAILS Recurrent Ongoing Non-Recurrent (Fixed-term) (End Date) External (End Date) No Change Project Cost Centre Account Activity Location Comp. - - - - - 0 1 AUTHORISATION RECOMMENDED: Position title: Ext: Signature: Date: Name: APPROVED: (AS PER HR DELEGATION) Position title: Ext: Signature: Date: Name:
POSITION ESTABLISHMENT FORM Please send to Senior HR Officer for checking prior to approval HR ENDORSED POSITION DESCRIPTION APPROVED and ATTACHED? (PROFESSIONAL STAFF ONLY) Yes No (Refer to the HRAM) Creation of New Position (If Professional Staff Position Refer to Establishment Guidelines) Close an Existing Position (position must be vacant before it can be closed) Vacant Modification of Existing Position Indicate modification category below Vacant Occupied Classification – Supporting Material Attached Position/Business Title NB: If making an adjustment to an occupied position, ensure that a new employment contract is issued where necessary. Change of Cost Centre Fixed-term End Date Status (Ongoing / Fixed-Term) Location - Campus Reporting Line Other POSITION DETAILS Position Number: Classification: Business Title: School / Centre: Business unit: Reports to (name): Reports to (position number): Reports to (position title): Position Location JO ML SW ML&JO Off Campus within WA Off Campus outside of WA: NSW / VIC / TAS / NT / QLD / SA Off Campus outside of Australia: Please state country: Building No: Room No: Work Phone: Position status: Ongoing Full-Time 100% FTE Ongoing Part-Time (Indicate FTE %) % Fixed-term Full-Time 100% FTE Fixed-term Part-Time (Indicate FTE %) % Date effective: (For Ongoing) For Fixed-term (From: To: ) SPECIAL CONDITIONS ATTACHED TO THE POSITION (if in doubt, discuss with HRAM) Pre-Placement Medical & Health Statutory Declaration Medical Health Assessment Required Working with Children Check National Police Check 50(d) Identified Indigenous Position WA driver’s licence Immunisation Details: Other Special Licences (please indicate) Details: Professional registration/membership Details: Other (e.g. ASIO, Financial Regulatory, etc.) Details: REASONS TO CREATE/MODIFY/CLOSE FUNDING DETAILS Recurrent Ongoing Non-Recurrent (Fixed-term) (End Date) External (End Date) No Change Project Cost Centre Account Activity Location Comp. - - - - - 0 1 AUTHORISATION RECOMMENDED: Position title: Name: Ext: Signature: Date: APPROVED: (AS PER HR DELEGATION) Position title: Name: Ext: Signature: Date:
Position-Establishment-Form_2018.docx