| Employee Name |
| Employee Email |
| Job Title |
| Office |
| Direct Staff Supervisor Name |
| Direct Staff Supervisor Email Address |
| List dates of employment with Wisconsin State Assembly (Please include dates and job title). |
| How long have you been in your present position? |
| Is your position part-time or full-time? |
| What are your work hours and days? (If your hours have shifted or changed post-COVID-19 please indicate that as well.) |
| What is the major purpose of your position? |
| General Duties and Tasks (A) |
| Estimated Time in percentage % (A) |
| General Duties and Tasks (B) |
| Estimated Time in percentage % (B) |
| General Duties and Tasks (C) |
| Estimated Time in percentage % (C) |
| General Duties and Tasks (D) |
| Estimated Time in percentage % (D) |
| General Duties and Tasks (E) |
| Estimated Time in percentage % (E) |
| Total Estimated Time (Automatically Calculated) |
| Does your job change when the Legislature is NOT in session? |
| Of these duties, which one do you think is most important to the mission of the Wisconsin State Assembly? |
| How is your job structured when the legislature is out-of-session versus in-session? |
| Please check the box that corresponds to the type of supervision you usually receive in completing your typical work duties. (Please check one box) |
| For your primary job duties, please check the box that describes the types of decisions you make on a regular basis. (Please check one box. Please elaborate if necessary, in the additional comments space below.) |
| If someone in your position were to make an error in the course of work, please check the box that best describes the consequences of someone in this position making a serious error. (Please check one box. Please elaborate if necessary, in additional comments space below.) |
| Additional Comments |
| Do you supervise other employees? |
| With what type of people do you have frequent, cooperative work contact? (Check all that apply) |
| Please check the box that best describes the predominant type of contact you have with the people checked in the previous question. (Please check one box) |
| What is the minimum level of formal education a new person would need to do your job? (Please check one box) |
| What is the minimum amount of reasonably related work experience a new person would need to do your job? (Please check one box) |
| Why do you think these education and work experience requirements are needed to do this job? |
| How long would it take a new person with the minimum qualifications and skills described above to learn or be trained to do this job in a satisfactory manner? (Please check one box) |
| What special knowledge and skills would be required by a new person to do your job in a satisfactory manner? |
| What formal education did you have when you started work in this job? (Please check one box) |
| How many years of reasonably related work experience did you have when you started work in this job? (Please check one box) |
| What job outside the Wisconsin State Assembly do you believe is most like your current position? |
| What concerns, if any, do you have about the Wisconsin State Assembly’s current salary policies or classification plan and your position? |
