STEP II: FUNDING INFORMATION
Request Type
[ ] Already Budgeted/Permanent
[ ] Non-Budgeted/Permanent Request
[ ] Already Budgeted with Pay Increase Request
[ ] Non-Budgeted/Temporary Fund Request
[ ] Already Budgeted/Reallocation Request
Already Budgeted Amount
Market Range
Internal Range
FOAP
Fund Request
Already Budgeted w/ Increase
Non-Budgeted/Permanent
Non-Budgeted/Temporary
Base Pay
$
$
$
Taxes
$
$
$
Benefits
$
$
$
Technology
$
$
$
Office Supplies/Name Tag
$
$
$
Training/Membership
$
$
$
Other __________________
$
$
$
Total Request
$
$
$
Notes (attach additional explanation if necessary)
All requests except reallocations:
________________________________
__________________
Cabinet Member Signature
Date
_________________________
________________________________
__________________
Finance Approver Name
Finance Approver Signature
Date
STEP III: RECRUITMENT INFORMATION
Eligibility
Posting Duration
[ ] Internal Only
[ ] 5 days - Internal Only
[ ] 14 days
[ ] Direct Appointment*
[ ] Internal and External
[ ] 7 days
[ ] 30 days
* Requires Cabinet
[ ] N/A – Already Filled
[ ] 10 days
[ ] Other __________
approval
Dept Recruitment Contact
Preferred Temporary Email Box Address
Authorized Email Box Users
Estimated Starting Pay Range
Include Pay Range in Posting
Affirmative Action Notes
[ ] Yes
[ ] No
Special Posting Requests or Other Notes
_________________________
________________________________
__________________
Hiring Manager Name
Hiring Manager Signature
Date
_________________________
________________________________
__________________
HR Name
HR Signature
Date
If Direct Appointment:
________________________________
__________________
Cabinet Member Signature
Date
Revised 06/22/15