Staff Personnel Requisition

Please complete the information below. When submitted, the form will be sent to the senior officer indicated on the bottom of the form.

Human Resources will be in contact with you to ensure that the position description reflects the current vacancy.

Title of vacant position(Required)
Department(Required)
Is this a new position?(Required)
Refers to title of position only
- Yes
- No
- I do not know
Type of new position
- FLSA Non-Exempt/ Bi-weekly paid
- FLSA Exempt/ Monthly paid
Name of primary time approver
First Last
Name of secondary time approver
First Last
This opening is to replace (name).
Is this a temporary position?(Required)
- Yes
- No
Anticipated separation date
MM slash DD slash YYYY
Preferred hire date
MM slash DD slash YYYY
Budgeted number of hours per year(Required)
Ex: 2080 = 40 hours * 52 weeks
Please enter a number from 0 to 2080.
Anticipated pay range(Required)
Search committee members
Committee members can be added later if needed
Additional comments
Hiring Supervisor(Required)
First Last
Your Email(Required)
Email address of senior officer(Required)
This is the person who will initially receive the request to fill this vacancy.
Upload updated job description
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Maximum file size – 5 mega bytes.