Temporary Hire Pre Approval Form Page 2

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Section B – Request and Approvals:
I certify the following:
I have reviewed the temporary appointment procedures and information located at:
Temporary Employment
– Conflict of Interest in Employment and will not knowingly make a hire that
I have read the
UNI Policy 4.03
could create a real or perceived conflict of interest.
I understand the person selected for the temporary appointment may not be offered employment or begin work
until this completed form is returned by HRS.
I understand the temporary employee should report to Human Resource Services at 027 Gilchrist Hall on or
before their first day of employment to complete their
new hire
paperwork. Federal law requires that an I-9 be
completed by the third day of employment.
I understand the departmental PAF preparer must create a PAF for the temporary hire no later than the first day
of employment and attach:
o
A completed
Merit Employment Application
form for Merit positions (the person hired must meet required
qualifications of the position);
o
A temporary appointment offer letter signed by the department head or director and the person hired.
I understand that if the selected temporary hire is a former UNI employee that they cannot be rehired until the
beginning of the next pay period following their termination date. Consult with HRS for more information.
I understand that a
telework agreement
must be approved for any work arrangement where the employee will
work away from their primary worksite at an alternate location, on a regular basis, at least one day a week.
Requestor Signature: ____________________________________________________
Date: ____________________
Approvals (Signifying approval for department to hire temporary staff as indicated above):
Department Head or Director Signature: _____________________________________
Date: ____________________
Dean (if applicable): _____________________________________________________
Date: ____________________
Vice President: _________________________________________________________
Date: ____________________
Research & Sponsored Programs (if applicable): ______________________________
Date: ____________________
UNI Foundation (if applicable): _____________________________________________
Date: ____________________
Forward fully approved form to HRS by mail (mail code 0034), fax (3-2927) or email
merit-employment@uni.edu
for classification determination.
HRS will return this form to hiring department once form is complete.
Return the completed form to: _____________________________________________
Mail Code: ________________
Section C – HRS Classification:
Merit Classification Determination: __________________________________________
HRS Comments: __________________________________________________________________________________
HRS Reviewer: ____________________________________________________________________________________
Reviewer Signature: _____________________________________________________
Date: ____________________
Revised 01/2017
Temporary Hire Pre-Approval Form
Page 2

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