Proposed Detail (All Assignment Types) Change Type Arkansas State University Assignment/Change Form ASU ID Dept Contact Phone Employee Name Dept Contact Grade Benefits Full-Time Part-Time Position Title FTE Term Work Load % Yes No Dept Head Dean/Admin VC International Salary Position No Yes Teaching Admin Research Other FUND ORGN ACCT PROG BUDGET Page Line ANNUAL SALARY EFFECTIVE DATES To From % TO BE PAID Present Assignment Detail (Overload, Assignment Change, Salary Change, Supervisor Change) Approvals Initial Date Date Initial Justification Date Signature College/Dept Dept Orgn Undergraduate Student Graduate Student Non Student ID Appr Name ID Supr Name Appr Orgn Financial Aid International Sponsored Prog Budget HR Payroll Grad School Supr Posn Grade Benefits Full-Time Part-Time Position Title FTE Term Work Load % Yes No International Salary Position No Yes Teaching Admin Research Other FUND ORGN ACCT PROG BUDGET Page Line ANNUAL SALARY EFFECTIVE DATES To From % TO BE PAID Undergraduate Student Graduate Student ID Appr Name ID Supr Name Appr Orgn Supr Posn Change Reason Non Student Revised 01/13/2016 Personal Email Employee Work Phone