Personnel Requisition Form
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1Personnel Requisition Form
Detailed information on recruiting new employees is in Procedures 2100. Complete, print, sign and forward this form to the DIVISION OF HUMAN
RESOURCES, RECRUITING SERVICES DEPARTMENT. For more information contact recruitingsvc@mdc.edu.
* New positions - Please complete a
Job Description Questionnaire
and submit to the Compensation department at
hrcompensation@mdc.edu
for review and approval, two weeks prior to posting.
TO BE COMPLETED BY DEPARTMENT:
Position Number:
Number of Vacancies:
Check One:
Full-Time
Part-Time
Title/Job Code/Grade:
Job Family:
Select one
Reports To:
(First and Last Name)
(Position Number)
Campus/Center
Operating Unit
Fund Code
ICS
Dept. ID
Budget Ref
Select One
Select One
Status:
Give Dates if Temporary: From:
To:
Replacement for:
Desired Start Date:
(First and Last Name)
(EMPL ID#)
Select One
Select One
Reason for Incumbent Leaving:
[Insert Drop Down Menu]
Date:
If Grant Funded Position/Give CPN #:
HIRING COMMITTEE ACCESS: Primary Hiring Manager:
(First and Last Name)
(EMPL ID#)
Secondary Hiring Manager:
(First and Last Name)
(Chairperson)
(EMPL ID#)
Interviewers (Committee Members):
(First and Last Name)
(EMPL ID#)
(First and Last Name)
(First and Last Name)
(EMPL ID#)
(EMPL ID#)
(First and Last Name)
(First and Last Name)
(EMPL ID#)
(EMPL ID#)
POSTING REQUIREMENTS:
INTERNAL
EXTERNAL
Addition requirement preferences (if applicable):
__________________________________________________________________________________________________________________
APPROVALS:
SIGNED:
PRINT: Budget Manager Name/Position #/EMPL ID
Date:
____________________________
________________________________________________
______________
APPROVED:
PRINTNAME: (Campus/District Head or Dean)
Date:
____________________________
________________________________________________
______________
FOR HUMAN RESOURCES USE ONLY
Pos #: __________________
Fund Code: _______
ICS:
Job Code: _____________
Pay Grade: _______
______Upgrade _____Downgrade
Position Title: ________________________________________________
HR Approval: _________________________________________
Date: ________________
Employment Use:
Date Posted: ______________
Reposted: _________________
Position ID #: _________________
Advertising Dates:
Printed Media: _____________
Websites: __________________
Other Publication: ______________
FOR BUDGET USE ONLY
Funding Source: _________________________________
Fund: ______________
Status: ______Temporary ______Regular
Budget Approval: _____________________________________________
Date: ______________
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Parent category: Business