"Staff Requisition Form"

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Staff Requisition Form
Please complete this form when requesting to hire any staff or requesting a change in current staffing, include as much
detail as possible.
Job Title: (ex: Office Coordinator I) ________________________________________________________________
Department/Office: _____________________________________________________________________________
Supervisor: ___________________________________________________________________________________
Hiring Contact: (if other than the supervisor) _________________________________________________________
Position Status and work schedule
(check one)
Full-time Regular
Part-Time Regular
Temporary
Please indicate the number of months to be worked and the number of hours per week:
Months per year: __________________
Hours per week: __________________
Desired start date: _________________
Type of position
New: Please indicate why this position is needed: ____________________________________________________
Replacement: Please indicate the person who is leaving: _______________________________________________
Change(s) to the position: ________________________________________________________________________
Grant: Please include a copy of the grant award: _____________________________________________________
Office Assignment
Indicate building and room number: ______________________________________________________________________
Staff Requisition Form
Please complete this form when requesting to hire any staff or requesting a change in current staffing, include as much
detail as possible.
Job Title: (ex: Office Coordinator I) ________________________________________________________________
Department/Office: _____________________________________________________________________________
Supervisor: ___________________________________________________________________________________
Hiring Contact: (if other than the supervisor) _________________________________________________________
Position Status and work schedule
(check one)
Full-time Regular
Part-Time Regular
Temporary
Please indicate the number of months to be worked and the number of hours per week:
Months per year: __________________
Hours per week: __________________
Desired start date: _________________
Type of position
New: Please indicate why this position is needed: ____________________________________________________
Replacement: Please indicate the person who is leaving: _______________________________________________
Change(s) to the position: ________________________________________________________________________
Grant: Please include a copy of the grant award: _____________________________________________________
Office Assignment
Indicate building and room number: ______________________________________________________________________
Recruitment Plan
If approved, this position will be posted internally for at least one week.
Ideas for advertising this position externally:
Web sites: ____________________ ____________________ ____________________ _____________________
Newspapers: __________________ ____________________ ____________________ _____________________
List serves: ___________________ ____________________ ____________________ _____________________
Other: _______________________________________________________________________________________
Supervisor Approval: ______________________________________________________________
Date: ____________
Department Head Approval: _________________________________________________________
Date: ____________
Cabinet Member Approval: __________________________________________________________ Date: ____________
Date: ____________
V.P. for Business and Finance Approval: _______________________________________________
President Approval: ________________________________________________________________ Date: ____________
If approved, the Human Resources Specialist will then begin the recruitment process and contact the requestor.
If not approved, the Associate Vice President of Human Resources will contact the requestor.
________________________________________________________________________________________________
Classification:
Exempt: hiring range ___________________________________________________________________________
Non-Exempt: hourly pay rate _____________________________________________________________________
Comments:
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