Exemption Request Form Page 2

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Employees in positions funded by grants, gifts, or revenues generated through auxiliary activities. For
___ (h)
purposes of this paragraph (h), "auxiliary activities" means institutional activities managed and accounted for as
self-supporting activities.
* For purposes of this section, a person is in a professional position or is a professional employee or
professional staff if the person is in a position that involves the exercise of discretion, analytical skill, judgment,
personal accountability, and responsibility for creating, developing, integrating, applying, or sharing an
organized body of knowledge that characteristically is:
(a) Acquired through education or training that meets the requirements for a bachelor's or graduate degree or
equivalent specialized experience; and
(b) Continuously studied to explore, extend, and use additional discoveries, interpretations, and applications
and to improve data, materials, equipment, applications, and methods.
Why does this guideline apply? _______________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
IV. Position Qualifications
If not provided on the job description, list the educational qualifications required for the position. ___________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________
V. Exemption Request and Authority
Human Resource Request Name _________________________________ Date:____________________
Title _______________________________________________________
Human Resource Authority _____________________________________
Title________________________________________________________
Signature ____________________________________________________ Date: ____________________
Updated 12/19/2011
Page 2

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