Fillable Staff Requisition Form printable pdf download

Staff Requisition Form

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Staff Requisition Form

Please complete this form when requesting to hire any staff or requesting a change in current staffing, include as much

detail as possible.

Job Title: (ex: Office Coordinator I) ________________________________________________________________

Department/Office: _____________________________________________________________________________

Supervisor: ___________________________________________________________________________________

Hiring Contact: (if other than the supervisor) _________________________________________________________

Position Status and work schedule

(check one)

Full-time Regular

Part-Time Regular

Temporary

Please indicate the number of months to be worked and the number of hours per week:

Months per year: __________________

Hours per week: __________________

Desired start date: _________________

Type of position

New: Please indicate why this position is needed: ____________________________________________________

Replacement: Please indicate the person who is leaving: _______________________________________________

Change(s) to the position: ________________________________________________________________________

Grant: Please include a copy of the grant award: _____________________________________________________

Office Assignment

Indicate building and room number: ______________________________________________________________________

Staff Requisition Form

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