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Forms |
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Supervisory Status Questionnaire
This questionnaire is also available as a Word97
file and as a PDF.
See also: Supervisory Functions.
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1. |
What percent of your time is spent on supervisory activities? | _________ % | |
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2. |
Do you work the same hours as your immediate supervisor? If no, explain:
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____ Yes ____ No | |
| 3. |
Is the area you direct geographically separated from your immediate supervisor's location? If yes, explain:
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____ Yes ____ No | |
| 4. |
For the employees you directly supervise, please list their job classifications, employment condition (e.g., full-time, part-time, intermittent/unlimited, seasonal, temporary, emergency) and the number of employees in each category. This information should also appear on page 1 of the position description.
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| Class | Employment Condition | Number of Employees |
To be completed by Personnel / Labor Relations Director
| 5. | Please attach an organization chart showing names, classifications, and managerial, supervisory, or non-supervisory designation of employees two levels above, on the same level, and two levels below the employee for whom this request is being processed. | |
| 6. | Has the position previously been declared supervisory or non-supervisory by a Bureau of Mediation Services determination? | ____ Yes ____ No Date ____________ |
| 7. | Has the exclusive representative of the unit this position would be in if not supervisory (i.e., the residual unit) agreed that the position is supervisory? | ____ Yes ____ No |
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If yes, which exclusive representative?
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Who acted on their behalf?
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