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<br /> <br /> <br /> <br /> 6. Present Class N/A Pay Grade <br /> <br /> 7. REQUESTED ACTION <br /> New Position-Initial Allocation ® Change in Duties and Responsibilities-Reallocation ? Redescription -Review ? Effective Date <br /> <br /> Requested Class Allocation Caregiver I&A Specialist Pay Grade SR-22 <br /> <br /> <br /> 8. CERTIFICATION OF EMPLOYEE The duties & responsibilities described above are accurate and complete. <br /> Employee's Name (Print) <br /> <br /> Employee's Signature Date <br /> <br /> 9. STATEMENT OF IMMEDIATE SUPERVISOR <br /> a. Describe the nature and extent of supervision, which you exercise over this position. <br /> Direct overall supervision. <br /> <br /> b. Indicate the qualifications absolutely necessary to perform the duties of the position. Keep in mind the position itself and <br /> the qualifications a new employee must bring to the position rather than the qualifications of the employee who now <br /> occupies it. <br /> Education - General Basic Qualifications Necessary for Work Performance <br /> Circle highest ear (Elementary and High School 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 <br /> Special or Professional: (College) 1 2 3 4 1 2 3 4 Kind: <br /> Work Experience-Kind <br /> and length in years <br /> <br /> See Attached <br /> <br /> <br /> <br /> Knowledge skills and <br /> abilities: <br /> <br /> See Attached <br /> <br /> <br /> Physical Requirements: Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed <br /> necessary and proper to perform the essential functions of the position with or without reasonable accommodations. <br /> Physical Effort Group: <br /> Licenses or Certificates required: <br /> See Attached <br /> 10. CERTIFICATION OF IMMEDIATE SUPERVISOR I certify that the above statements are accurate and complete. <br /> <br /> Immediate Supervisor's Signature Date <br /> 11. CERTIFICATION OF DIVISION HEAD I certify that the above statements are accurate and complete. <br /> <br /> Division Head's Signature Date <br /> 12. CERTIFICATION OF DEPARTMENT HEAD I certify that the above statements are accurate and complete. <br /> July 23, <br /> Department Head's Signature Date 2008 <br /> <br /> Distribution: Original - Human Resources; 1 ST co - Department; 2nd Co - Employee DHR CP-001 <br />