Personnel Action Form

Personnel Action Form

Use this form for:

one-time payments
one-time stipend payments
add or end Chair stipend payments
add or end Director payments
add recurring payments
job changes
additional jobs
miscellaneous actions
separations (submit resignation here)

Click the link below for:

new hires/rehires

For more info, click on the Submission and Approval instructions.

Enter email of person submitting the AF.*

Enter Employee's Legal First Name*

Enter Employee's Legal Last Name*

Enter Employee's Email Address*

Enter Employee's @NUMBER*

YOU MUST TYPE AS @12345678. (Include the "@")

Select Type of Action*

Please note, you can select more than one Type Of Action for this employee.

Selections marked (HR Use Only) may only be entered by Human Resources. Please contact humanresources1@fitnyc.edu for assistance.

If you wish to submit a letter of resignation, click here.

Select

Select Job Change Reason

Select

Select Reason For Separation

Select

Enter the employee's last workday

Enter the Employer*

Where does the funding come from?

Select

Enter the effective date*

Enter the end date (if applicable)

Enter end date of stipend or recurring payment.

If Recurring payment, please explain*

Semester*

Select all that apply

Select

Academic Year*

Select

Release Time Hours*

Current Employee Class*

Select

New Employee Class*

Select

Current Job Title*

If the job title doesn't appear in the drop-down menu, please type it into the box.

Select or enter value

New Job Title*

If the job title doesn't appear in the drop-down menu, please type it into the box.

Select or enter value

Current Position #*

Select or enter value

New Position #*

Select or enter value

Current Department Code*

Select

New Department Code*

Select

Current Object Code*

Select

New Object Code*

Select

Current Cost Center*

Select

New Cost Center*

Select

Current Salary Schedule*

Select

New Salary Schedule*

Select

Current Step*

Select

New Step*

Select

Current Annual Salary/Hourly Rate*

Example: $5/hour or $67,000/annual

New Annual Salary/Hourly Rate*

Example: $5/hour or $67,000/annual

Current Total hours per week*

New Total Hours Per Week*

Current Total Weeks Per Year*

New Total Weeks Per Year*

Current FLSA Status

If applicable.

Select

New FLSA Status

If applicable.

Select

Stipend/Payment Amount*

Reason For Action*

Use drop down menu or type in reason for Action.

Select or enter value

Currently Reports to*

Enter supervisor's email address.

Newly Reports To*

Enter new supervisor's email address.

Current Time Sheet/Leave Approver's Email Address*

New Time Sheet/Leave Approver's Email Address*

Notes/Comments

Enter any specific payment notes. (Courses authored, % payments, etc).

Enter Chairperson/Supervisor Email Address*

Enter 1st level approver's email address.

Select or Enter Dean/Senior Administrator Email Address (if applicable)

Enter 2nd level approver's email address, if applicable. If the email doesn't appear in the drop-down menu, please type it into the box.

Select or enter value

Select Vice President/Senior Administrator*

Select the VP/Senior Administrator from the drop down list for your Division.

Academic Affairs - Sidney Grimes (for Yasemin Jones)

CER and President's Office - Jennifer LoTurco

EMSS - Bonnie Duke (for Tardis Johnson)

FIT Foundation - Philips McCarty

Finance - Sherry Brabham

Human Resources - Cynthia Glass

IT - Larry Baach

Museum - Valerie Steele

OGC - Stephen Tuttle

Select

Action Form CC (Will receive copy of final form)

File Upload

Upload any relevant documents.

For Chairs and Directors, an Appointment Letter must be attached.

Drag and drop files here or

Office Location*

Employee's Personal Email*

Employee's Mobile/Home Phone*

Phone

Items below this line are for HR USE ONLY.

Check this box if this hire is via Appointment Letter.

Bypass AF Received Notifications

HR Notes

Address

Please provide address if different from current address

Submitters Email

Employee Supervisor's email address

Current Role(s)

Select or enter value

Role(s) to change

Select or enter value

Current Status

Select or enter value

Type of Action*

Select or enter value

Is this a temporary change?

Select or enter value

Send me a copy of my responses

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