Job Requisition/Request For Recruitment Form

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)

 Budgeted New Position  Replacement for ___________________________________

Budgeted Pay Grade _______________________________

 Non Budgeted New Position Date position is budgeted to begin: _____/_____/_____

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

_________________________________________________________________________

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Approvals

Hiring Manager Approval: _________________________________ Date: ____/____/_____

Department Manager Approval: ______________________________Date: ____/____/____

Please return to Human Resources once completed