JOB REQUISITION FORM
Instructions
1. Complete and sign this form to request a job posting or job funding.
2. Attach the job description in Word format and an organizational chart if available.
3. Submit all documents to hr@cu-portland.edu to begin signature process.
DEPARTMENT INFORMATION
Department Name
Department Location
Department Building/Work Space
[ ] Main Campus
[ ] Idaho Campus
[ ] CRC Campus
[ ] Remote
STEP I: POSITION INFORMATION
Requested Position Title
Supervisor Name and Title
Job Level
Position Status
Position Type
Benefits Eligibility
Weekly Hours
[ ] New Job
[ ] Permanent Full-Time
[ ] Full
[ ] 40
[ ] Existing Job with Change
[ ] Permanent Part-Time
[ ] Partial
[ ] 28
[ ] Temporary Full-Time
[ ] n/a
[ ] 20
Current Incumbent(s) if Filled:
[ ] Temporary Part-Time
[ ] Other ______
________________________________
Position Type
Assignment Dates (if Temporary)
[ ] Cabinet
[ ] Staff
[ ] Intern
[ ] Contractor
Start Date:
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[ ] Faculty
[ ] Student Worker
[ ] Volunteer
[ ] Not Sure
End Date:
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Business case (e.g., cost benefit, alignment with mission, vision, values, etc.); attach documentation if helpful.
Do other positions need to be redefined or revised based on this new position or change? If so, please explain.
Notes
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________________________________
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Hiring Manager Name
Hiring Manager Signature
Date
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________________________________
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HR Name
HR Signature
Date
Revised 06/22/15