REQUISITION FORM

For Staff Positions

_________________________________
President Approval/Signature

Title:_______________________________ ____ JobCode:___________ Department:____________________________________

Full-Time Working Hours:_________________ Position Available :__________________________________

Part-Time Hours per Week:_________________ Closing Date: ___________________________________

Temporary Ending Date of Employment (if temporary) :_________________________ Minimum Rate (Pay Plan): ___________________________________

Education Required:____________________________________________________ Preferred:__________________________________________

Other skills ( not included in job description)

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

(i.e., Read/Write, Typing, CRT, Shorthand, Calculator, Copier, Computer,Specific software, etc.)

Experience Required:________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

Preferred:_________________________________________________________________________________________________________________________

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Supervisory Responsibility? ______ Yes______ No Special Physical Requirements: ___________________________________________________________

Description of Job Duties (not included in job description):

____________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________

Will incumbent be driving a University vehicle__________; and/or personal vehicle for University business___________.

New position: (yes____ no____) Replacement: (yes____ no____)

Replacement for:______________________________________________ who is ________________________________________________

Source of Funds
Account number:____________________________________________________________________________________________________

_________________________________________________ ___________________________________
Signature: Department/Budget Head/Supervisor Date

_________________________________________________ ___________________________________
Signature: Vice President Date

HR Use Only

Total Number of Applicants: ____________ Number of Applicants Interviewed: ___________ Date Job Filled: ____________

Applicant Hired: Letters Sent: ___Y ___N

Rev09.03