Name:
Title:
Department/Location:
Date:

Please type or print your responses. If necessary, add additional pages.

I. JOB DUTIES

1. In order of their importance, list job duties and functions you typically perform daily including the amount to time you spend on each activity.

2. In order of their importance, list job duties and functions you often perform (not on a daily basis) including the frequency of the activity and how much time you spend on it.

II. DISCRETIONARY DECISIONS

1. List the types of discretionary decisions you undertake in the performance of your job.

2. Describe how you come to these decisions.

III. INSTRUCTIONS

1. List the amount and position of all persons you supervise. State the amount of time you spend giving instruction to each person listed.

2. List the number and position of all employees to whom you report.

3. Describe the type of work you do for each person you listed for question III (2).

IV. MISTAKES

1. List the types of mistakes that may commonly be made in your position.

2. When a mistake occurs, how is it determined and by whom?

3. Describe the impact of these mistakes, if left unchecked, to the company.

V. ASSISTANCE

1. List the persons and entities you regularly contact as part of the performance of your job. Include in your answer the method of communication (i.e., phone, letter, etc.) and the purpose of that contact (i.e., to schedule a meeting, to negotiate a contract, etc.).

VI. JOB REQUIREMENTS

1. Regardless of your own background, abilities and education, please describe what you think the minimum skills and education should be required of someone in this position and describe why.

2. Describe what kind of professional background you would look for if you were hiring someone to fill your job.

VII. REMARKS

If you have any additional comments to make, please feel free to do so.