FIXED TERM RENEWAL/NON RENEWAL FORM In accordance with the Professional Staff Recruitment by Exception Strategy, if this is a Professional position (operating funded) please attach a copy of the approved Critical to Operations Business Case to support this appointment. Organisation Unit No: Organisation Unit: Position No: Position Title: Current Appointment End Date: Please indicate below whether you are renewing or not renewing the appointment (Place an X in the appropriate box): Fixed Term Renewal: only complete Sections 2 and 3 of the form. Fixed Term Non Renewal: only complete Sections 1 and 3 of the form. PERSONAL DETAILS Aurion No.: Employee No.: Title: Student No.: Date of Birth: Post Nominal: Given Name/s: Surname: Home Address: Postal Address: Email Address: Home Phone No.: Mobile No.: Qualifications (State where & year each obtained): * Please only complete these details if you are aware of any changes that haven’t been updated in MyAurion by the incumbent. SECTION 1 – NON RENEWAL REASON (Place an X in the appropriate box) Funding not extended Approved internal transfer Resignation/Not seeking renewal Replacement of staff on leave Changes in Operational Requirements Other: Please note: Severance may be applicable. Click here to view an extract from the Enterprise Agreement which sets out the severance entitlements for fixed-term staff members. If the renewal/non-renewal of the appointment is subject to funding, you are obliged to advise the employee of this. Click here to obtain the template for this process. % OF SALARY COSTING DETAILS OP UNIT & SITE FUND & FUNCTION PROJECT FREE FORMAT TAG (OPTIONAL) (OPTIONAL) FUNDING CONDITIONS (FOR EXTERNALLY FUNDED POSITIONS) Is this appointment consistent with the contractual conditions of the grant/funding: CHIEF INVESTIGATOR (RESEARCH ONLY) N/A YES INITIALS SECTION 2 – RENEWAL INFORMATION NO TEACHING RESPONSIBILITIES Is the appointment: Teaching Focussed Research Only Teaching and Research EMPLOYMENT DETAILS Commencement Date: Expiry Date: Local Job Title: Salary/Stipend per Annum: Campus – Base: Campus – other/s: Job Family: Career Stream/Occupational Category: Classification & Point of Scale: Actual Hours Per week: November 2016 1 of 2 Clinical version 4.1 WORK PATTERN Monday Tuesday (Note: for work patterns spanning three weeks or more please attach the full work pattern) Wednesday Thursday Friday Saturday Sunday Week 1 [NON PAY WEEK] Week 2 [PAY WEEK] ALLOWANCES- if applicable TYPE DESCRIPTION END DATE $ AMOUNT CURRENT SUPERANNUATION: If the term of contract or fraction of appointment increases, the superannuation may need to be changed as per below. For further information please contact your relevant HR Officer or UQ Superannuation policy 17% UniSuper dbp/acc2 (full superannuation) will be funded for the following appointments: Academic and General Staff appointments => 2 years and => 18 hours per week Research academic and research general appointments => 10 months and => 18 hours per week UniSuper Acc1 (Superannuation Guarantee only) will be funded for the following appointments: Academic and General Staff appointments < 2 years or < 18 hours per week Research academic and research general appointments < 10 months or < 18 hours per week If the conditions for this appointment are to vary from the above, please specify the reason: IMMIGRATION REQUIREMENTS (Place an X in the appropriate box/es & provide additional information in space provided) Current Visa Type: Current Visa Expiry Date: Does Employee have work rights in Australia? If NO, supply copy of Work Limitations Information contained in Passport: ☐ YES ☐ NO Provide details of type of employer sponsored visa required ☐ Temporary (up to 4 years) ☐ Permanent (3 years or longer) FIXED TERM EMPLOYMENT REASON/S (Place an X in the appropriate box/es and provide additional information in space provided) Specific Task or Project (Name Task/Project) Research Replacement staff member Recent Professional Practice (Maximum of 2 Years) Pre-retirement (Maximum of 5 Years) Fixed-term contract employment subsidiary to studentship New / Discontinued Program of Study Apprenticeship or Traineeship Decrease in Enrolments Organisational Change Dentistry Clinical Internship Head of School Early Career Academic Additional Comments: RECREATION LEAVE BALANCE Recreational Leave balance as at is hours SECTION 3 – AUTHORISATION OF ORGANISATIONAL UNIT (To be completed by Organisational Unit) Recommended by: Signature of Recommender: Print Name: Position Title: Date: Approved by: Signature of Authorised Officer: Print Name: Position Title: Date: Human Resources Staff to complete Details Entered by: Date: Details Checked by: Date: November 2016 2 of 2 version 4.1
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