Position Title: _________________________Department: __________________________ Hiring Manager: _______________________________________Date: _____/_____/_____ Have the duties of this position changed?    Yes    No (If yes, provide details in position information)   Full Time     Part Time     Temporary (If part-time, specify if benefited and at how many hours)

REASON FOR RECRUITMENT

  Budgeted New Position     Replacement for ___________________________________ Budgeted Pay Grade _______________________________   Non Budgeted New Position    Date position is budgeted to begin: _____/_____/_____

POSITION INFORMATION

(Complete only if no job description exists or the position has changed, otherwise attach job description) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ======================================================

Approvals

Hiring Manager Approval: _________________________________ Date: ____/____/_____ Department Manager Approval: ______________________________Date: ____/____/____ Please return to Human Resources once completed