"Part Time Requisition Form - Bergen Community College"

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B
C
C
ERGEN
OMMUNITY
OLLEGE
Part Time Requisition Form
Position Title
Division
Department
Salary/Hourly Rate
Schedule
Location
Supervisor
(Hours of Work)
(Room/Building)

Replacement for:
Type of Position
Budgeted
Part-time
Yes
Hours per week: ________
____________________________
On Call
No
Term date ____________
Agency Temporary
New Position
Budget Code ___________________
: ___/___/___ to ___/___/___
Dates of assignment
POSITION OVERVIEW (
Attach job description if available)
I.
POSITION PURPOSE:
Briefly state the primary purpose of this position and justification.
II.
POSITION DESCRIPTION:
Briefly state the primary duties and responsibilities of this position.
.
III.
SPECIAL SKILLS:
List the specialized clerical, administrative, technical, or managerial skills needed to perform this position.
IV.
PHYSICAL REQUIREMENTS:
List the minimum physical requirements or manual labor skills for this position i.e.
lifting, etc.
V.
ADDITIONAL SKILLS/PROFESSIONAL CHARACTERISTICS:
List any education, formal training, knowledge,
skills, abilities, and other characteristics which are desired for this position.
Do current or previous incumbents possess these qualifications and skills? If no, please describe the reason for these
requirements when hiring for this position.
APPROVALS
FOR HUMAN RESOURCES USE ONLY
__________________________________________________
Acceptance date ________ Start date _______________
Dean/Director/Department Head
Date
New employee _________________________________
_____________________________________________
Executive Council Member
Date
Source _______________________________________
_____________________________________________
Rate __________________________________________
Executive Director, Human Resources
Date
Rev. 1/13
B
C
C
ERGEN
OMMUNITY
OLLEGE
Part Time Requisition Form
Position Title
Division
Department
Salary/Hourly Rate
Schedule
Location
Supervisor
(Hours of Work)
(Room/Building)

Replacement for:
Type of Position
Budgeted
Part-time
Yes
Hours per week: ________
____________________________
On Call
No
Term date ____________
Agency Temporary
New Position
Budget Code ___________________
: ___/___/___ to ___/___/___
Dates of assignment
POSITION OVERVIEW (
Attach job description if available)
I.
POSITION PURPOSE:
Briefly state the primary purpose of this position and justification.
II.
POSITION DESCRIPTION:
Briefly state the primary duties and responsibilities of this position.
.
III.
SPECIAL SKILLS:
List the specialized clerical, administrative, technical, or managerial skills needed to perform this position.
IV.
PHYSICAL REQUIREMENTS:
List the minimum physical requirements or manual labor skills for this position i.e.
lifting, etc.
V.
ADDITIONAL SKILLS/PROFESSIONAL CHARACTERISTICS:
List any education, formal training, knowledge,
skills, abilities, and other characteristics which are desired for this position.
Do current or previous incumbents possess these qualifications and skills? If no, please describe the reason for these
requirements when hiring for this position.
APPROVALS
FOR HUMAN RESOURCES USE ONLY
__________________________________________________
Acceptance date ________ Start date _______________
Dean/Director/Department Head
Date
New employee _________________________________
_____________________________________________
Executive Council Member
Date
Source _______________________________________
_____________________________________________
Rate __________________________________________
Executive Director, Human Resources
Date
Rev. 1/13