DIXIE STATE COLLEGE
CLASSIFICATION APPEAL FORM

 

Employee: ________________________    Department: ________________________

Job Title: _____________________________ Grade: _______


1. Employee's request (suggested classification):





2. Employee's statement of Appeal (attach a copy of a revised position analysis questionnaire or other documents for justification).







Signature of Employee/Date:______________________________________________



3. Supervisors' Positions:

Agree ___   Disagree ___

Immediate Supervisor's Signature/Date: _________________________


Agree ___   Disagree ___

Division Supervisor's Signature/Date: _________________________



4. Classification Review Committee's Recommendation:






5. Final Decision: (Vice-President and/or President):