NICHOLLS  STATE  UNIVERSITY

UNCLASSIFIED POSITION DESCRIPTION FORM

•	AGENCY INFORMATION:                                                                
                                                                                                         POSITION NUMBER
[  ]  NEW POSITION ESTABLISHED         [  ]  UPDATE
                                                                                                              
•	POSITION INFORMATION:                                                                                                                        

     
CURRENT OFFICIAL JOB TITLE

     
EMPLOYEE’S NAME - LAST, FIRST, MIDDLE

     
DEPARTMENT

     								     	    		
DIRECT SUPERVISOR’S NAME                                                 OFFICIAL  TITLE

•	SUPERVISORY ELEMENTS:
 Please check all elements that apply to this position.  List only official job titles of positions DIRECTLY supervised.  After each job title, note the number of positions supervised in parenthesis.   Example - Secretary 2 (1).

[  ]  Determines Work Assignments                                              NUMBER OF STAFF
[  ]  Reviews & Approves Work
[  ]  Recommends Hiring/Promotions                                                		TOTAL DIRECTLY
[  ]  Trains Staff                                                                                            	SUPERVISED
[  ]  Evaluates Performance                                                    
[  ] Approves Leave

a.     					 b.      
c.     					 d.      
e.     					 f.       

EDUCATION REQUIRED:      

EXPERIENCE REQUIRED:      

•	QUALIFICATION STANDARDS (continued): 

LICENSES REQUIRED:      

OTHER REQUIREMENTS:      

•	TASKS STATEMENTS (DUTIES AND RESPONSIBILITIES):
        (Please attach additional sheets if necessary)

ESSENTIAL FUNCTIONS ASSOCIATED WITH THIS POSITION INCLUDE: 
     

•	MARGINAL FUNCTIONS ASSOCIATED WITH THIS POSITION:

May be required to perform any and all duties as assigned.

•	REASONING ABILITY:
Ability to apply principles of logical thinking to define problems, establish facts, and draw valid conclusions; to interpret instructions furnished in written, oral, or diagrammatic form; to deal with problems involving several concrete variables.

If necessary, use the space provided below to modify the above example:
     

•	MATHEMATICAL ABILITY:
The ability to add, subtract, multiply, and divide all units of measure; to perform the four operations with like or common decimal fractions.

If necessary, use the space provided below to modify the above example:
     

•	COMMUNICATIONS ABILITY:
TALKING:  Expressing or exchanging ideas by means of the spoken word.  Important when imparting oral information to others coherently, accurately, and quickly.

HEARING:  Perceiving the nature of sounds.  Important for those activities which require ability to receive detailed information through oral communication, and to make fine discriminations in sound.

If necessary, use the space provided below to modify the above examples:
     

•	TYPICAL WORKING CONDITIONS:
      (Please check the appropriate box which best applies to the position.)

[  ]  The worker is subject to Inside Environmental Conditions: Protection from weather conditions, but not necessarily from temperature changes.

[  ]  The worker is subject to Outside Environmental Conditions:  No effective protection from weather conditions.

[  ]  The worker is subject to both Inside and Outside Environmental Conditions:  Activities occur      % inside and       % outside.

•	DEGREE OF PHYSICAL DEMAND:
       (Please check the appropriate box which best applies to the position.)

[  ]  SEDENTARY WORK:  Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.  Involves sitting most of the time, but may involve walking or standing for brief periods of time.

[  ]  LIGHT WORK:  Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.  Usually requires walking or standing to a significant degree.

[  ]  MEDIUM WORK:  Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

[  ]  HEAVY WORK:  Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

•	TYPES OF PHYSICAL DEMANDS:
Please check all below that apply to the position.  You must be able to prove that the type of physical demand indicated is necessary to perform the ESSENTIAL functions of the position.

[  ]  Acuity, far:  Clear vision at 20 feet or more.

[  ]  Acuity, near:  Clear vision at 20 inches or less.

[  ]  Depth Perception:  Three-dimensional vision; ability to judge distance and space relationships so as to see objects where and as they actually are.

[  ]  Field of Vision:  Observing a large area while keeping the eyes fixed.

[  ]  Accommodation:  Adjustment of lens of eye when doing near-point work at varying distances from the eye.

[  ]  Color Vision:  Ability to identify and distinguish colors.

[   ]  Climbing:  Ability to ascend or descend ladders, stairs, ramps, scaffolding, poles, etc.

[  ]  Balancing:  Maintaining body equilibrium exceeding ordinary locomotion.

[   ]  Stooping:  Bending body downward and forward by bending spine at the waist.

[   ]  Kneeling:  Bending legs at knee to come to a rest on knee or knees.

[  ]  Crouching:  Bending the body downward and forward by bending leg and spine.

[   ]  Crawling:  Moving about on hands and knees or hands and feet.

[  ]  Reaching:  Extending hand(s) and arm(s) in any direction.

[  ]  Handling:  Seizing, holding, grasping, turning, or otherwise working with the hands.

[   ]  Fingering:  Picking, pinching, or otherwise working with fingers primarily.

[  ]  Feeling:  Perceiving attributes such as size, shape, temperature, or texture by means of receptors in skin.

[   ]  Tasting/Smelling:  distinguishing, with a degree of accuracy, differences or similarities in intensity or quality of flavors and/or odors.

•	MACHINES, TOOLS, EQUIPMENT, AND WORK AIDS:
Please list all machines, tools, equipment, and work aids which may be representative but not all inclusive, of those commonly associated with your position.
     

•	SIGNATURES:

________________________________________________________________________
EMPLOYEE                                                                                                             DATE

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DIRECT SUPERVISOR                                                                                           DATE

______________________________________________________________________________
DEPARTMENT HEAD (IF APPLICABLE)                                                            DATE

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APPOINTING AUTHORITY/DESIGNEE                                                               DATE