Contact Us - ITS Service Desk

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FCH Requests

FCH Items *

Penn ID#

Request *

Student Type *

Principal Investigator Information

PI First Name *

PI Last Name *

Type of Assistance Needed *

Are you a Penn Affiliate? *

Other Affiliate

Other Ranking

Primary Contact Information

First Name

If different than P.I.

Last Name

If different than P.I.

Phone Number *

Email Address *

primary contact email

What is your preferred method of communication?

Project Information

Start Date *

End Date *

Project Title *

Project Acronym

Most urgent deadline is *

Please provide additional details. A structured abstract with project aims is preferred. *

Please specify the project type below (Select one)

Statistical or Data Management Consultation / Guest lecture request (No analysis required)

Data Entry / Management / Analysis of existing data

Has All Data Been Entered Electronically

Approximate Number of Data Records

Pilot Data Analysis

Do you need us to write an analysis plan?

Do you need us to generate a power analysis and summary?

Funding Available for Consultation / Data Analysis for Grant Development

Please Specify

Grant proposal with submission deadline *

Specific Aim of the Grant

Date of Submission

Project Start Date

Proposed Sponsor

Please Specify Proposed Sponsor

Request *

Additional Information - Please concisely state your project needs for the meeting, a preferred date and time to meet, and include any and all relevant screenshots, code, statistical software results, or DEIDENTIFIED data in order to facilitate the meetin

General Information

Hiring Manager: *

Person completing this form (if different from the hiring manager): *

Position Title: *

Date Position Open: *

Why is the position open? *

How did you fill the position previously?

Approx. how many days would you like to have the position posted for (minimum of 7 days is required; we can always extend if the pool does not have enough candidates): *

Target Start Date: *

If yes, who: *

Salary Target (if known): *

$

Will this person work with minors (under the age of 18) either in person or virtually (additional background check required): (yes or No) *

Will anyone else help screen candidates for this position? *

If yes, who: *

Recruitment Plan

Do you anticipate having trouble finding qualified candidates for this position? *

Should this position need to be posted on external? (Note additional fees will apply) (yes or no) *

Will external ads be needed? *

If yes, who? *

Is there talent in your department or the School of Nursing that could fill this role? *

If yes, who/when? *

Will this person have any direct reports? *

If yes, how many? *

What will this person need to accomplish to succeed? *

What particular challenges are inherent to this role? *

What are some selling points in terms of the opportunity and next steps from a growth perspective in this role? *

How would you describe your management style? *

What are some things you want the person to accomplish in the first 30, 60, and 90 days of the new hire? *

Successful Candidate Profile

Top 3-5 ‘Must Have' Competencies/Skills *

Critical Skills or Experience: *

License/Certs: *

Technical Skills / Equipment / Industries: *

Soft Skills: *

Cultural Fit *

Candidate Differentiators: *

Supplemental Application Questions
Supplemental questions serve as an application screener to ensure that only qualified candidates end up in your pool. An example would be: Do you have 3-5 years’ experience managing grant funds?

Would you like to add supplemental questions to the application process? *

If yes, please list: *

Interview Process
We highly recommend all positions to utilize SparkHire as a first round interview. In rare instances people will ask to forgo this step by making a special request to SoN HR.

Proposed Spark Hire Interview Questions: *

How many rounds of in person interviews do you anticipate? *

Who needs to be included in the interview process ie who will be on your panel? (Note: we recommend panel members view Spark interviews in advance of in person interviews) *

Have you notified and communicated expectations to interview panel members? *

Will candidates need to do a presentation or submit work samples? *

Who will coordinate/schedule interviews? *

Who will be greeting/escorting the candidate? *

Do you already have an established set of interview questions for the position? (If yes, blank space for proposed questions) *

If yes: *

Anything else you would like us to know? *

Onboarding Plan

Do you have an office space for this person? *

If yes, where? *

What Penn applications will this person need access to? (Additional approval processes may be required; check all that apply) *

What SON applications will this person need access to? (Additional approval processes may be required) *

What SON distribution lists will this person need? *

What training will this person need? *

If yes, who: *

Who are 3-4 key constituents this person will interact with most from your department? *

Who are 3-4 key constituents this person will interact with most within in the School of Nursing, but outside of your department? *

Who are 3-4 key constituents this person will interact with most at the University? *

Who are 3-4 key constituents this person will interact with most external to the University? *

Anything else that needs to be considered for the onboarding plan? *

BHS Items *

Categories *

Course Number & Term (Pls use format: NURS XXX-XXX 2020C, enter N/A if no course #) *

Type of Request *

Requested Delivery Date *

For design requests, please allow a minimum of two weeks. For photography or videography, please specify the date of the event.

Report Name *

Internal/External Submission *

Report Description (Please be specific in dates/terms/years needed) *

Business Reason/Objective - Who is the intended audience for the information *

Have you requested this report previously? *

Deadline/Timeline to complete the report *

Can you provide an existing report, template or documentation? *

Priority *

Name *

Email *

Request for which department? *

Subject *

Category *

Message *

Who from your department can serve as a buddy/mentor for this person? *