JOB DESCRIPTION QUESTIONNAIRE

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6___________________________________________________________________________________________3. DECISION MAKING AUTHORITY:Describe the decisions you are able to make on your own. What types of decisions do you refer toyour immediate Supervisor/Manager?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please check the most appropriate description of the supervisory/managerial responsibilities of this job.FunctionReview and ApproveSubordinate DecisionDecide and/or TakeAction DirectlyRecommend toSupervisorHiringTrainingSchedulingBudgetingAppraising PerformancePromotingCompensatingDisciplining/TerminatingOther (list)______________________________________________________________________________________________________________________________________________________________________________________4. SCOPE AND DIMENSIONS:Number of People Supervised:Part Time Professional__________ Full Time Professional____________ Total___________Part Time Support_________ Full Time Support__________ Total__________Dept. Operating Budget $_______________________________None*If budgetary responsibilities, please complete:Grant $ ________________________ (combined total)Non-grant $ _______________________Revenue Volume of Dept. (if applicable, i.e., fees collected, sales, pledges) $__________________________5. WORKING RELATIONSHIPS: Identify positions/departments with which you have frequent contact.Please note which contacts are essential and which are non-essential.A. Internal Relationships:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B. External Relationships:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
76. SKILLS, KNOWLEDGE, EDUCATION, EXPERIENCE AND OTHER REQUIREMENTS:Describe specific skill or education levels needed to do this job (i.e. word processing; knowledge of marketing;etc.). Indicate the length of time necessary to become proficient at this job.______________________________________________________________________________________________________________________________________________________________________________________7. ORGANIZATIONAL CHART:Your Supervisor/Manager’s Title____________________________________________Your Job Title___________________________________________________________Other Positions Reporting to Your Supervisor Positions that Report to You** Total #Title: __________________________***Title: __________________________***Title: __________________________***Title: __________________________***** Note the title of each person who reports to you on the line in the box. List the basic purposes of theirposition next to the bullets. Please note the number of incumbents in each job title in the column on the right.****************Within your department, to what other positions do you go for guidance?______________________________________________________________________________________________________________________________________________________________________________________8. WORKING CONDITIONS:A. Physical Environment:Please select the statement which best describes the surroundings or physical conditions under which the workmust be performed.1.______Usual office environment.2.______Good working conditions. Occasional exposure to some unpleasant elements making conditions lesscomfortable than usual office environment. Please specify unpleasant elements.___________________________________________________________________________________________3.______Typical non-office environment with some undesirable working conditions such as:___________________________________________________________________________________________4.______Non-office environment which is disagreeable due to exposure to noise, dust, heat, fumes and otherelements which are continuously present, such as:___________________________________________________________________________________________B. Physical Demands:
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