POSITION INFORMATION QUESTIONNAIRE (PIQ)

Identifying Information

Campus ID:

HRMS Position #:

Department ID (e.g., BL-BUS, IN-MED) :

Incumbent Name:

Position Title:

Supervisor Name:

Position Purpose

Describe the primary purpose of the position - the principal, main, major or most important duty that the position/incumbent performs. Provide 2 - 3 descriptive, concise sentences. Do not attach additional material. Please note, only the text that is visible in the box will print. If you input more text than the visible space please use the RTF form instead.

Indicate the percentage of time associated with the primary duty: %

Education, Experience, and Certification

What is the job-related education, experience, and certification necessary for the position?

Education & Experience	Minimum Qualifications
Education: specify degree and degree specialty, if any.
Experience: specify years and type of experience, in addition to degree.
Equivalency: specify years and type of experience and education that can be substituted for degree, if any.
Certifications or licensure:

Does incumbent possess required education and experience? Yes No

Does incumbent possess required certification/license, if any? Yes No

If no, does incumbent possess qualifications as indicated in equivalency? Yes No

If no, indicate how the employee's qualifications differ:

Supervision

Does the position/incumbent manage a distinct department or division? Yes No

If yes, number of employees supervised: full time part time

If 2 or more employees are supervised, please indicate supervisory responsibilities as below:

Responsible for	Yes	No	Responsible for	Yes	No
Interview, select and train			Hire/fire
Set and adjust rates of pay and hours			Recommend hire/fire
Direct work			Appraise performance
			Monitor or implement legal compliance

Supplemental Job Duties Information

Indicate whether the incumbent performs job duties as below through the application of independent judgment and discretion in matters of significance. For each 'yes' response, provide a concise, descriptive example which indicates this application of judgment and discretion. Please note, only the text that is visible in the box will print. If you input more text than the visible space please use the RTF form instead.

Does the incumbent:
Formulate, affect, interpret, and/or implement management policies or operating practices? Example:	Yes No
Carry out major assignments in conducting the operations of the business or perform work that affects business operations to a substantial degree? Example:	Yes No
Have authority to commit IU in matters that have significant financial impact? Example:	Yes No
Have authority to waive/deviate from established policies/procedures without prior approval? Example:	Yes No
Provide consultation or expert advice to IU management? Example:	Yes No
Participate in long- or short-term planning of IU business objectives? Example:	Yes No
Investigate and resolve matters of significance on behalf of IU management or represent IU in handling complaints, arbitrating disputes, or resolving grievances? Example:	Yes No
Conceptualize or create IT applications/structures/systems? Example:	Yes No

Signatures

Certification that the information provided is accurate and reflective of the work performed by the position and the incumbent:

Form Completed by_______________________________________________________ Date___________
(printed name & signature)

Management Approval_____________________________________________________ Date___________
(printed name & signature)

Organizational Relationships

Include detailed organizational charts which show the organization and the relationships above and below this position. Include names, titles, and position numbers of appointed positions.

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POSITION INFORMATION QUESTIONNAIRE (PIQ)

PRINT this form using your browser's print function.

PRINT this form using your
browser's print function.