Tulane University - Office of the Provost - Headcount Stabilization Exemption Request

NOTE-- The School of Liberal Arts uses a different Headcount Exemption Request form, located here: https://bpm.tulane.edu/bpm

All other schools should use the form below.

School/Unit:

Department:

If appropriate

Name of Person Submitting Request:

Email:

This is a:

New Position

Replacement Position

Select only one.

Incumbent's Name:

If this is a replacement position, please indicate the name of the person that recently vacated the position.

Position Control Number:

If this is a replacement position, please indicate the Position Control Number.

Budgeted Employee Number:

List the Employee Number of the person budgeted in the vacated position (if applicable.) If the position was already vacant, list the placeholder Employee Number (starts with an '8').

Position Title:

Effective Date of Position:

Salary:

For new positions, list a salary range. For replacement positions, list the budgeted salary.

Funding Source:

University Funds (2-ledger)

Endowment (4-ledger)

Grant (5-ledger)

Restricted Funds (6-ledger)

Other

Please check all that apply.

Additional Funding Information:

If there will be a mixture of different types of funding, or if you selected 'Other,' please explain.

Justification:

Please provide a justification for the creation of a new position or filling a vacant position.

For Provost's Office Use Only:

Approved

Not Approved

Office of Academic Affairs and Provost

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Headcount Stabilization Exemption Request