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Does this position have responsibility for the supervision of others?	[ ] Yes [ ] No
If no, please skip ahead to next section.
Assigns, reviews and checks work of others	[ ]
Immediate supervision over department responsible for hiring, firing and discipline	[ ]
General supervision over multiple units through subordinate superiors	[ ]
General supervision over a function through subordinate managers	[ ]
General supervision over a multiple functions, reports to top executive	[ ]
Number of direct reports _________________________________________
Number of indirect reports _________________________________________
Working Conditions
Please check all that apply
Regular office conditions	[ ]
Exposure to extreme temperatures	[ ]
Exposure to high noise levels	[ ]
Exposure to fumes	[ ]
Exposure to dirt	[ ]
Other	[ ]
Examples__________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________
Please list any physical demands required and give examples. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________
Please note any unusual or unique responsibilities or conditions not previously addressed. ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________

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