ࡱ> a :bjbjjj Y?b?bK ^^^^^D"}4 zt))))-3R6\|||||||$k|Q^7--@77|^^));}???7^^)^)|?7|??jrw)@  8Ft2|Q}0}u!R8!dww!^x77?77777||<777}7777!777777777 B $:  PART I Position Identification Information1. Employee Name: Last, First, Middle2. Position Number: 3. Class Title: 4. Federal SOC Title & Code:5. Working Title: 6. EEO Code:7. Agency: ɫֱ8. Agency Code: 2139. Essential Position during emergencies:  FORMCHECKBOX  Yes  FORMCHECKBOX  No10. Organizational Unit: 11. Level Indicator:  FORMCHECKBOX  Employee  FORMCHECKBOX Supervisor  FORMCHECKBOX Manager12. Number of Employees Directly Supervised: 13. Supervisors Name:14. Supervisors Position Number and Title: 15. Effective Date: oCTOBER 25, 20_ _ oCTOBER 24, 20_ _PART II Work Description & Performance Plan16. Organizational Objective: To provide services which ensure a fair, equitable and quality working and learning environment for all employees and members of the university community; to proactively and creatively provide all customers with superior, innovation, and cost-effective programs and services; to continuously seek and supply all customers with the opportunities and resources needed to enhance their knowledge, skills and abilities so they may better support the mission of the university.17. Purpose of Position: 18. KSAs and or Competencies required to successfully perform the work: 19. Education, Experience, Licensure, or Certification required for entry into position: REQUIRED QUALIFICATIONS: PREFERRED QUALIFICATIONS: Work actions and/or decisions: What work actions and/or decisions will this position make without prior approval? To what extent does this position receive advice and guidance from supervisor? State examples of the type of supervisory advice and guidance that position will receive as well as actions or decisions position will make without prior approval.Contacts: List and explain the contacts you have both inside and outside State Government, if any, as a routine function of your work. Do not list contacts with supervisors, co-workers, and subordinates. Person /Organization Purpose How Often? Inside/Outside State Govt  Time22. Core Responsibilities23. Measures for Core Responsibilities0%ACCOUNTABILITY Takes responsibility for fulfilling job duties. Meets attendance and punctuality guidelines. Demonstrates accuracy and thoroughness. Completes work on time. Follows instructions and directions.0%LEADERSHIP Provides direction and motivation through open communication, encouragement and modeling best practices. Demonstrates and encourages adherence to the NSU Strategic Plan. Makes effective and timely decision and understand their impact and implications. Searches for new ideas and better ways of doing them.0%COMMUNICATION Ensures that key issues are addressed and that important information is shared quickly and effectively up, down, and across the department. Listens to others perspective and ideas without interrupting. Helps to ensure understanding and commitment to ideas and decision prior to implementing them.0%RESPONSIVENESS/CUSTOMER SERVICE Consistently demonstrates respect, responsiveness and professionalism while providing superior service for customers internal and external. Provides each customer with the same high quality services.0% DECISION-MAKING Employees sound judgment, logical reasoning and uses resources wisely. Develops detailed executable plans that are feasible, acceptable and suitable. Implements plan and achieves success. Identifies problem areas before they escalate in crises. Makes sound decisions when critical situations occur. Offers constructive reaction to difficult and failures, setting forth an appropriate example for staff0%OTHER Optional _____________________ (Determined by department) when applicable (Examples: Critical Thinking - Develops solutions to business problems based on strategic and analytic problem solving. Innovation - Generates creative and new ideas. Integrity/Ethical Behavior - Is trustworthy and demonstrates strong personal and professional values. Business Mindedness Understands the nature of the companys business and how own role fits in with and affects the bottom line. 100% ServiceUNIVERSITY SERVICE University Service is defined as work beyond regular contractual obligations that are related to the mission and responsibilities of the University.PUBLIC SERVICE Public Service is defined as those activities which advance a positive image of the institution in the wider community and which contribute to the quality of life within the local, state, national and international communities.OFFICIAL ORGANIZATIONAL CHART MUST BE ATTACHED Part III Physical Demands Worksheet This form is intended to assist supervisors in evaluating the demands of positions. Keep a copy of the completed form with the Position Description in the employees personnel file. Job Title:Employee: If employee performs typical office or administrative work that does not require physical exertion beyond routine sitting, standing, and light lifting, please check here and skip to Part 3, Emotional Demands.  FORMCHECKBOX  PART 1: The physical demands of this position. (without accommodations)Frequency** constant for at least 15 minutesNeverRareOccasionalFrequentSitting. Particularly for sustained periods of time. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Walking. Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another. May include uneven surfaces such as gravel, grass, or mounds.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Standing. Particularly for sustained periods of time. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Bending neck up & down and/or twisting sideways. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Running. Typically for short distances to respond to emergency situations. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Stooping. Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full motion of the lower extremities and back muscles.   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Balancing. Maintaining body equilibrium to prevent falling and walking, standing or crouching on narrow, slippery, or other uneven surfaces. This factor is important if the amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Crouching. Bending the body downward and forward by bending leg and spine. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Climbing. Ascending or descending ladders, stairs, scaffolding, ramps, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Kneeling. Bending legs at knee to come to a rest on knee or knees. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Crawling. Moving about on hands and knees or hands and feet. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Pushing. Using upper extremities to press against something with steady force in order to thrust forward, downward or outward. List Maximum Weight:________  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Pulling. Using upper extremities to exert force in order to draw, haul or tug objects in a sustained motion. List Maximum Weight: __________  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Lifting/Carrying. Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires substantial use of upper extremities and back muscles. Up to 10 lbs. 11-25 lbs. 26-50 lbs. 51-75 lbs. Over 75 lbs.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Fingering. Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Grasping. Applying pressure to an object with the fingers and palm.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Reaching. Extending hand(s) and arm(s) in any direction. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  PART 2: The environmental demands of this position. NeverRareOccasionalFrequentThe worker is subject to environmental conditions. Protection from weather conditions but not necessarily from temperature changes. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is subject to outside environmental conditions. No effective protection from the weather.  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is subject to both environmental conditions. Activities occur inside and outside. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is subject to extreme cold. Temperatures typically below 32 for periods of more than one hour. Consideration should be given to the effect of other environmental conditions, such as wind and humidity.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX The worker is subject to extreme heat. Temperatures above 100 for periods of more than one hour. Consideration should be given to the effect of other environmental conditions, such as wind and humidity.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX The worker is subject to noise. There is sufficient noise to cause the worker to shout in order to be heard above ambient noise level. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is subject to vibration. Exposure to oscillating movements of the extremities or whole body. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is subject to hazards. Includes a variety of physical conditions, such as proximity to moving mechanical parts, moving vehicles, electrical current, working on scaffolding and high places, exposure to high heat or exposure to chemicals.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX The worker is subject to atmospheric conditions. One or more of the following conditions that affect the respiratory system or the skin: fumes, odors, dust, mists, gases, or poor ventilation.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX The worker is frequently in close quarters, crawl spaces, shafts, man holes, small enclosed rooms, small sewage and line pipes, and other areas that could cause claustrophobia.  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX The worker is required to function in narrow aisles or passageways. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is required to wear protective equipment such as respirator, mask, earplugs, gloves, goggles, etc. (List specific PPEs for each hazard under Core Responsibilities) FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  PART 3: The emotional demands of this position. NeverRareOccasionalFrequentThe worker is subject to multiple priorities and stimuli. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Work involves frequent change and/or interruptions. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker is required to have intense customer interaction. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Frequent deadlines must be met. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker must be able to respond to emergency situations appropriately. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The worker must be able to work overtime as needed. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Other:  FORMTEXT        FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX The Sensory Demands of this position. (with or without corrective devices)  FORMCHECKBOX Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound.  FORMCHECKBOX Verbal Communication. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken information to others accurately, clearly, loudly, and quickly.  FORMCHECKBOX Visual acuity including color, depth perception, and field vision. Required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned and to make general observations.  FORMCHECKBOX Writing Ability. Able to complete written assignments and write accurate reports and documentation. Additional writing requirements include:  FORMTEXT         FORMCHECKBOX Reading Ability. Able to read and comprehend instructions, procedures, and policies. Additional reading requirements include:  FORMTEXT         FORMCHECKBOX Position requires driving/operating a motor vehicle. (If CDL is required, please note in Section II under KSA) I acknowledge and understand that: The Physical Demands Worksheet provides a general summary of the position in which I am employed, that the contents of this worksheet are job requirements and, at this time, I know of no limitations that would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these functions. The Position Description and Physical Demands Worksheet are not an exhaustive list of all duties, responsibilities and requirements. Other functions may be assigned and NSU management retains the right to add or change the duties at any time. I am responsible for using the proper procedures, equipment, and personal protection (PPE) while performing the physical demands of my position. I have read and understand this physical demands worksheet. ______________________________________________ ____________________________ Employee Signature Date This page is printed separate from the remainder of the Position Description/Performance Plan because it contains confidential employee information. 25. Annual Requirements:  Supervisor ensures annual requirements for position are provided to the employee. Supervisor will evaluate employee annually on compliance with these requirements. Mandatory training courses are completed as instructed. PART IV - Employee Development Plan26. Personal Learning Goals: 27. Learning Steps/Resources Needs:  28. Confidentiality Statement & Code of ConductI. I acknowledge and understand that I may have access to confidential information regarding employees, students, or the public. In addition, I acknowledge and understand that I may have access to proprietary or other confidential information or business information belonging to NSU and/or the Commonwealth. Therefore, except as required or permitted by law, I agree that I will not: Access or attempt to access data that is unrelated to my job duties at NSU; Use or disclose to any other person, or allow any other person access to, any information related to NSU and/or the Commonwealth that is proprietary or confidential and/or pertains to employees, students, clients, or the public. Use or disclosure of information includes, but is not limited to, verbal discussions, FAX transmissions, electronic mail messages, voice mail communication, written documentation, loaning computer access codes, and/or another transmission or sharing of data. II. I understand that NSU and its employees, students, or others may suffer irreparable harm by use or disclosure of proprietary or confidential information and that NSU may seek legal remedies available to it should such use or disclosure occur. ________________________________________________________________________________________________ III. I hereby certify that I have read and agree to abide by the Commonwealths Standards of Conduct, Policy #1.60. ________________________________________________________________________________________________ IV. I understand that violations of the above agreements and acknowledgements may result in disciplinary action, up to and including, termination of employment. ______________________________ __________________________________ ________________ Employee Name (PRINT) Employee Signature Date Part V - Review of Position Description/Performance Plan29. Supervisors Comments:   Supervisors Signature Print NameEmployee ID #Date30. Reviewers Comments:   Reviewers Signature Print NameEmployee ID #Date31. 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