Section 1: Position and User Information *Requires electronic completion and submittal Position Number: Position Title: Current Holder First Name: Current Holder Last Name: TXState NetID: Department Name: Office Phone: Classification: (pick one) Student Employee Effective Regular Employee Special/Guest Date From: To: Temporary Employee Consultant (Required for Temps, Students, Consultants, and Special/Guest) Reason for request: New Position Existing Position (Spreadsheet option. If a PC - hold Ctrl key & click on link. If using a MAC – click directly on link) Section 2: Select training to be assigned to the designated position: Indicate ADD or DELETE or DELETE ALL Access for this position according to the selected roles Training Course Title Training Course Title Action (Restricted to Student Health Center use Action () only) DELETE DELETE ADD ADD Bio Terrorism Certification Hazardous Waste Certification DELETE DELETE ADD ADD Bloodborne Pathogens Certification Illicit Discharge Detection and Elimination DELETE DELETE ADD ADD CPR Review Certification Spill Prevention, Control and Countermeasure DELETE DELETE ADD ADD Hazardous Communication for SHC Hazardous Communication Certification DELETE DELETE ADD ADD Infection Prevention & Control Cert Good Housekeeping/Pollution Prevention DELETE ADD Allergy Certification DELETE ADD Non Clinical Infection Prevention Cert DELETE ADD TB Education Certification DELETE ADD Universal Precautions Section 3: Requestor and Supervisor Information Section 4: Review and Approval YES NO Approver Initials: Requested By: EHSRM Date: YES NO Approver Initials: NetID: SHC Date: YES NO Approver Initials: Phone: PRO DEV Date: FAC YES NO Approver Initials: Date: RECORDS Date: Dept Head YES NO Approver Initials: Signature: HR Date: Dept Head Name: Date: By signing above, the Department Head acknowledges the indicated position(s) requires the requested training. Upon approval, submit completed form to Environmental Health, Safety & Risk Management, , for verification. EHSRM will forward approved form to Professional Development, , for review, and upon completion, Professional Development will forward the form to the applicable back office for course indicator(s) to be built. Student Health Center requests will be sent directly to the HR MDC for processing. Requests for departments within the Academic Affairs division will be sent to Elizabeth Mello, Requests for departments in other divisions will be sent to HR MDC, R 8/10/17
Section 1: Position and User Information *Requires electronic completion and submittal Position Number: Position Title: Current Holder First Name: Current Holder Last Name: TXState NetID: Department Name: Office Phone: Classification: (pick one) Student Employee Regular Employee Special/Guest Temporary Employee Consultant Effective Date From: To: (Required for Temps, Students, Consultants, and Special/Guest) Reason for request: New Position Existing Position (Spreadsheet option. If a PC - hold Ctrl key & click on link. If using a MAC – click directly on link) Section 2: Select training to be assigned to the designated position: Indicate ADD or DELETE or DELETE ALL Access for this position according to the selected roles Action Training Course Title (Restricted to Student Health Center use only) Action Training Course Title () DELETE ADD Bio Terrorism Certification DELETE ADD Hazardous Waste Certification DELETE ADD Bloodborne Pathogens Certification DELETE ADD Illicit Discharge Detection and Elimination DELETE ADD CPR Review Certification DELETE ADD Spill Prevention, Control and Countermeasure DELETE ADD Hazardous Communication for SHC DELETE ADD Hazardous Communication Certification DELETE ADD Infection Prevention & Control Cert DELETE ADD Good Housekeeping/Pollution Prevention DELETE ADD Allergy Certification DELETE ADD Non Clinical Infection Prevention Cert DELETE ADD TB Education Certification DELETE ADD Universal Precautions Section 3: Requestor and Supervisor Information Section 4: Review and Approval Requested By: EHSRM YES NO Approver Initials: Date: NetID: SHC YES NO Approver Initials: Date: Phone: PRO DEV YES NO Approver Initials: Date: Date: FAC RECORDS YES NO Approver Initials: Date: Dept Head Signature: HR YES NO Approver Initials: Date: Dept Head Name: Date: By signing above, the Department Head acknowledges the indicated position(s) requires the requested training. Upon approval, submit completed form to Environmental Health, Safety & Risk Management, , for verification. EHSRM will forward approved form to Professional Development, , for review, and upon completion, Professional Development will forward the form to the applicable back office for course indicator(s) to be built. Student Health Center requests will be sent directly to the HR MDC for processing. Requests for departments within the Academic Affairs division will be sent to Elizabeth Mello, Requests for departments in other divisions will be sent to HR MDC, R 8/10/17
SAP%20Training%20Request%20Form.docx