Form 101 - Personnel Requisition Template
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1This form is to be used to notify the Department
of Human Resources of all new or replacement
positions. It is not intended to replace the
PC05, MOA or any existing documents.
PERSONNEL REQUISITION
Mississippi Valley State University
.
HR #101-3/7/07
SECTION 1: GENERAL INFORMATION
(Please type or print)
Position Title:_______________________________________________
Department:___________________________________________
Name of Hiring Official:________________________________________
Ext.___________ Email Address:_________________________
SECTION 2: REASON FOR REQUISITION
(Complete for all new or replacement positions)
(Check One)
Reason for Vacancy:
Replacement
New Position
Former Incumbent’s Name:_______________________________________
Projected Last Date Worked:________________Actual Last Date Worked:_____________________ Date to be filled_____________________
SECTION 3: BUDGET INFORMATION
(To be completed by Budget Officer or the Office of Title III / Sponsored Programs, if grant funded)
Account Number: ____________________
Fund Number: ____________________
Banner Org. Number: ___________________
FLSA Status: __________________________ Salary Range: _____________________
Institutional Funded (10)
(Exempt, Salary/Non-Exempt, Salaried, Hourly)
Grant Funded (30)
SECTION 4: TYPE OF POSITION/SCHEDULE
(Complete for all new or replacement positions)
Work Schedule:
Full Time
Part Time
Temporary
Scheduled # of hours per week: _____________
Classification:
Faculty
Staff
Student
Contractual
SECTION 5: POSTING
(Complete for all new or replacement positions)
Job Posting Preference:
Internal (MVSU HR Job Announcement Board)
External (See Attached Vendors)
(MVSU Website, MS Employment Service)
* All regular full time and part time positions will be posted internally on our job announcement bulletin board for a minimum of 7 calendar days.
Requested Advertising Vendors:______________________________________________________________________________________
___________________________________________________________________________________________________________________
* Note: Please attach job description to this requisition along with a Purchase Order # for Vendor Advertising.
SECTION 6: APPROVALS (
Requisitions should be signed by Area VP and Fiscal Affairs then forwarded directly to the Department of Human Resources unless
grant-funded. All grant-funded positions should be sent to the Office of Title III / Sponsored Programs first, before being forwarded to the Department of Human
Resources)
Department Head _____________________________
Date________ Area Vice President ___________________________Date________
_______________________________________
_________
_______________________________
__ _____
__________
Office of Fiscal Affairs (Budget Officer)
Date
Office of Sponsored Programs(Only if grant funded)
Date
_________________________________
_________
Director of Human Resources
Date
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