Hiring Manager Information (Requestor)
Name:
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First Name
Last Name
Title:
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Dept#:
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Dept Name
Date requested
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Month
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Day
Year
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Date Needed
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Month
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Day
Year
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Information about Position being requested
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Addition
Replacement
New Position
Temp
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LOA
Name of employee being replaced
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FT. Regular
PT. Regular
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Replacement Reason
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Job Title of position being posted
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Supervisor the position will Report to
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Work Schedule (ex. Monday through Friday)
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Job Description Attach here
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Requested Compensation
Wage or Salary
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Bonus
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Annual Budget Impact:
Was this position budgeted for?
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Additional Information on Position (if needed)
Approval
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Manager
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Next Level Mgr. Signature
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HR Director Signature
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