MARKET SUPPLEMENT APPLICATION FORM
Please complete this form in conjunction with the Market Pay Supplements Policy which will
form the basis of the business case.
SECTION TO BE COMPLETED BY LINE MANAGER
Job Title of post(s) to receive Market Pay Supplement (MPS):
Staff Name(s) of Recipient(s) (where applicable):
School or Department:
Name of Manager (applicant):
Position:
Contact Number of Manager:
Work Location:
Outline the attraction and recruitment or retention measures already taken and why a
market supplement may be suitable:
Please select the most appropriate criteria to justify the market supplement:




To maintain parity with market conditions for key posts
For short/medium term appointments of staff with exceptional skill or experience
To secure the recruitment or retention of an individual with a funding grant
To secure the recruitment of an individual at short-notice due to exceptional
circumstances, as an interim measure, subject to review, in line with the timeframe set
out in the Recruitment and Selection Policy
 To retain an individual with specialist skills or knowledge to maintain current
activities
 To match a rival offer of employment
 Other (where this option is selected, please contact your HR Manager who will assist you in
selecting the most appropriate criteria).
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Market Supplements Application Form/240713/V1.2
List key deliverables linked to MPS (include in final agreement document):
Outline what consideration has been given to staff performing similar jobs:
Recruitment
supplement
or
retention*
market Data sources used for evidence (please
consult with your HR Manager to identify the most
appropriate data)
Period of award (start and end dates):
Market data determined salary for post(s): £
Total market supplement award: £
Signature of manager:
Date:
Signature of Executive Dean (or nominee) Date:
confirming endorsement of MPS :
SECTION TO BE COMPLETED BY HR
HR to consider the case and ascertain the level of the requested market supplement:
Post Number(s)
Name of HR Manager/HR Signed:
Services Team member:
Director of HR to consider case
Comments
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Date:
Market Supplements Application Form/240713/V1.2
Name:
Signed:
Date:
Director of HR passes form to College Secretary or Master
College Secretary or Master to consider case and justification
Comments
Name:
Signed:
Date:
Approved/ declined*
If approved, to be reviewed (month/year)
Form is passed to the member of HR team named above.
*Delete as appropriate
Human Resources
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Market Supplements Application Form/240713/V1.2