UW-Madison

College of Engineering

PVL Worksheet

CORE

Recruitment type: ▢ Open     ▢ Waiver (Complete page 3)

Position/PVL Type:   ▢ New      ▢ Replacement
Appointment Type:  ▢ Academic Staff     ▢ Faculty

Terminal or Renewable: ▢ Terminal      ▢ Renewable

Position Available Date:       

Assured Consideration (application deadline):      

If Terminal, Appointment End Date:      

Title Code Number(s):      

Title Names:      

Number of Positions:      

Working Title:      

Major Department (UDDS):       
Other Appointment Departments:
     

Fund (101, 144, 233 etc.):      
Program Code (2, 4, 6 etc.):
     
Project/Account (if applicable):
      

SALARY/TITLE

Pay Basis:   ▢ Annual (12 month)      ▢ Academic (9 month)

Salary (Full Time Rate) Minimum:         

Salary (Full Time Rate) Maximum:       

For waivers only-Fixed (Full Time Rate):      

Advertise Maximum:   ▢ Yes      ▢  No

Minimum Percent:       

Maximum Percent:       

CONTACTS
Primary Contact (listed on posted PVL)

        Last Name:       

        First Name:       

        Address:       

        Phone Number:       

        Release Phone Number:   ▢ Yes      ▢  No  

        Email Address:       

        Release Email Address:     ▢ Yes      ▢  No

Administrative Contact (not listed on posted PVL - for internal communications, if same as primary, indicate "same" and skip to QUALS)

        Last Name:       

        First Name:       

        Address:       

        Phone Number:         

        Email Address:       

QUALIFICATIONS

Required Degree/s & Specialization Area/s (please specify required vs. preferred):

     

Minimum Number of years & type of relevant work experience, other qualifications:       

SUPERVISORY

Number of FTEs Supervised:       

DUTIES

Principal Duties:      

CAT-A

If new Category A position:

        Who performed these duties previously and what was his/her title?      

        If no one, how were these duties covered?      

REP 

(Recruitment Efforts Plan) is only required if the salary maximum is above $69,979.
If required complete
1-10, if not required or PVL is a waiver, skip to replacement section.

  1. Search Region:   ▢ National      ▢  Regional   ▢ Local
  2. Ad in Chronicle of Higher Ed:    ▢ Yes      ▢  No
  3. Meetings/Conferences (List):       
  4. Minority Organizations/Publications (List):      
  5. Newspapers (List):       
  6. Placement Services (List):      
  7. Institutions/Labs/Programs (List):      
  8. Professional Publications (List):      
  9. Other Professional Contacts (Briefly Describe):       
  10. Other Recruitment Efforts (Briefly Describe):       

REPLACEMENT

        If replacement, former incumbent:

        Appointment ID Number:       

Name:       

ADDITIONAL INFORMATION REQUIRED FOR PVL WAIVERS:

WAIVER REASON:  (see waiver reason codes below):      

ADDITIONAL EXPLANATION:     

LAST NAME:     

FIRST NAME:     

SOCIAL SECURITY NUMBER:      

    ***DO NOT SUBMIT VIA EMAIL***

WAIVER REASON CODES:

A = Appointment is 25% or less

B = Emergency Appointment

G = Referral Priority 

H =  Temporary Acting Appointment

C = 6 week or less

I  =   Re-employed Annuitant

D = L.O.A. Replacement

K =  Sole Sources

E = Training Completion for E-I-T(Research Assoc.

L  =  Spousal Hire*

       Postdoctoral Fellow/Trainee after 1.5 years in training)

F = Degree Completion for TA & PA (TA end of semester

M =  Moving from FA appt. to AS and vice versa

N  =  Other

       PA less than 3 months)

P  =   Position Conversion (approved by PCC)

WAIVER IS NOT REQUIRED for:

Zero-dollar appointment

D61NN, D62NN, D63NN, D64NN - L/I appointment

Current faculty teaching in another department

D81BN, D81DN, D81FN – Visiting Lecturer

D21NN, D22NN, D23NN, D24NN - Emeritus (prior faculty only)

D11NN, D12NN, D13NN, D14NN - Visiting Professor

D31NN, D32NN, D33NN, D24NN - Military Science

E11BN, E11FN, E11LN – Visiting Scientist

D41NN, D42NN, D43NN, D44NN – Adjunct appointment if less than half time.

Z50NN - Teaching Supervisor

*NOTE: Offer to spouse/partner is contingent of first hire’s commencing employment.