Transfer/promotion Request Form printable pdf download

Transfer/promotion Request Form

TRANSFER/PROMOTION REQUEST FORM

Employee’s Name:

I am requesting consideration for the following opening:

Position Title:___________________________________________

Location:________________________________________________

Work Schedule (circle days): Sat

Sun

Mon

Tue Wed

Thu

Fri

Shift(s):____________________________________

In order to be eligible for consideration you must:

 Be current in all required training certifications;

 Not be overdue for a TB screening; and

 Not have received any disciplinary action in the past 6 mos.

____________________________

____________________

Employee’s Signature

Date

____________________________

_____________________

Supervisor’s Signature*

Date

*Acknowledgement Only - please sign and forward immediately upon receipt

Please send this completed form to the Human Resources Department

with supervisor’s signature before the posting deadline for consideration.

To be completed by Human Resources:

Date Received by HR: ____________________ Date Notified Hiring Mgr: _______________

Result:

___ Approved

___ Declined

___ Position Closed

Comments: ____________________________________________________________________

HR\Transfer Request Form: 1/17/17

Transfer/promotion Request Form