Title 42 – Clinical Research Support

Fast-Track Request

Recruitment Information:

Name of Candidate:

Name	Position:

Position
Proposed Pay Band: band

Proposed Salary: salary	Department/Section:

Dept/Section	Unit/Manager:

Unit/Manager
Proposed Appointment Type:

Indefinite

Supplemental for: # years (indicate # of years)

Length of Probationary Period:

Candidate will serve a Prob length-year probationary period.

Justification for Use of Fast-Track Appointment:

Describe below the candidate’s unique qualifications and the circumstances that support the use of fast-track and/or address why this action should be exempt from open recruitment.

justification

Justification of Proposed Pay Rate –

Describe the following below or in an attachment: The qualifications and competencies of the individual; the criticality of the program assignment; the individual’s current salary and benefit package; and/or supervisory/managerial responsibilities.

Description

Certification:

I certify that funds are available within the

salary budget for this action.
Department Head, CC	Date

Review and Approval:

Recommended:	Department Head, CC	Date
Recommended:	Deputy/Associate Director, CC	Date
Approved:	Director, CC	Date

Submit the following to the Director, OHRM:

Statement of Duties	Position Competencies	SF-52 via Impact (send concurrently)

CCT42-1a-10/3/01

Title 42 – Clinical Research Service

SReed

2001-10-03

chiukk

OHRM