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Thomas O’Hara, MBA. President Research Foundation for Mental Hygiene, Inc. 150 Broadway, Suite 301, Menands, NY 12204 Phone: (518) 474-5661 Fax: (518) 474-6995 RFMH Job Posting Template Robert E. Burke, CPA Managing Director Complete this form to request a RFMH job posting. Please answer all questions as incomplete submissions may cause a delay. Date of Request: Department: Job Title: RFMH Salary Grade: RFMH Salary Basis: If Part-Time, indicate % of full-time effort Annual Salary or Hourly Rate of Pay: Does this position require contact with children? Is this position working in a lab environment? Does this position require regular and substantial unsupervised or unrestricted physical contact with service recipients? Full name of the individual that will be supervising employee and approving timecards: Applicable for NYSPI postings only - Does this position require FCOAI Federal Disclosure: Account(s) Position Allocation: *By listing an account and allocation you are certifying that there is ample funding to support this position *550 location only – if the account listed requires spending approval, please provide completed MOU. The position cannot be posted without completed spending approval. Account/Project Number: Account/Project Number: Account/Project Number: Percentage of Effort: Percentage of Effort: Percentage of Effort: Work hours based on: Individual responsible for evaluating applications: Individual(s) conducting interviews: Duration of job posting (Number of calendar days – minimum of 3 business days): Individual to receive application notifications: Name: E-mail: Description: Summary description of the position and percentage of full-time effort or hourly.

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Page 1: RFMH Job Posting Templatecorporate.rfmh.org/human_resources/forms/JobPostingTemplate.pdfWork hours based on: Individual responsible for evaluating applications: Individual(s) conducting

Thomas O’Hara, MBA. President

Research Foundation for Mental Hygiene, Inc. 150 Broadway, Suite 301, Menands, NY 12204

Phone: (518) 474-5661 Fax: (518) 474-6995

RFMH Job Posting Template

Robert E. Burke, CPA Managing Director

Complete this form to request a RFMH job posting. Please answer all questions as incomplete submissions may cause a delay.

Date of Request: Department:

Job Title: RFMH Salary Grade:

RFMH Salary Basis: If Part-Time, indicate % of full-time effort

Annual Salary or Hourly Rate of Pay:

Does this position require contact with children?

Is this position working in a lab environment?

Does this position require regular and substantial unsupervised or unrestricted physical contact with service recipients?

Full name of the individual that will be supervising employee and approving timecards:

Applicable for NYSPI postings only - Does this position require FCOAI Federal Disclosure:

Account(s) Position Allocation: *By listing an account and allocation you are certifying that there is ample funding to support this position *550 location only – if the account listed requires spending approval, please provide completed MOU. The position cannot be posted

without completed spending approval.

Account/Project Number:

Account/Project Number:

Account/Project Number:

Percentage of Effort:

Percentage of Effort:

Percentage of Effort:

Work hours based on:

Individual responsible for evaluating applications:

Individual(s) conducting interviews:

Duration of job posting (Number of calendar days – minimum of 3 business days):

Individual to receive application notifications: Name: E-mail:

Description: Summary description of the position and percentage of full-time effort or hourly.

Page 2: RFMH Job Posting Templatecorporate.rfmh.org/human_resources/forms/JobPostingTemplate.pdfWork hours based on: Individual responsible for evaluating applications: Individual(s) conducting

Duties and Responsibilities: Allows candidate to self-assess their skillset against the needs of the role. Include an overview of responsibilities, referencing key functions, special skills and requirements of the position. Such as regular overnight travel, night and weekend work or bilingual English/Spanish.

Minimum Qualifications: Minimum education and work experience or combination required. Applicants are considered qualified if they meet the minimum qualifications for the position. Qualifications should be specific and/or measurable.

Preferred Qualifications: Preferred qualifications for consideration in addition to the minimum qualifications referenced above. Qualifications should be specific and/or measurable.

Work Location: Full Address of physical work location.

Address Line 1:

Address Line 2:

Floor/Room and or Suite Number (if applicable):

City: State: Zip Code:

Principle Investigator Signature (required):

Submit completed form to [email protected] with a subject line of NYSPI posting for processing within 3 business days.

--------------------------------------------------------------------------------Human Resources--------------------------------------------------------------------------

Date job posted:

Posting number assigned:

America’s Job Exchange completed:

PI or desginee notified the request is completed:

Is designee to receive applications active in ApplicantPro? If no, date username, password and email sent: