Emergency/Temporary Hire Form
Name of Person Making the request:
Department where vacancy occurs:
Title of the Position:
Office of Affirmative Action
1509 North Boulder Ave.
Russellville, AR 72801
Phone: 479-498-6020
Fax: 479-890-6493
Current Date:
Position Information
Date position became available :
Phone Number : Email :
Position Number:
Justification detailing the urgent need for filling the position:
Supervisor: (if applicable)
Former Employee:
Anticipated duration of temporary hire:
From : To :
President:
Reason for Vacancy: Explain Other:
Affirmative Action:
Vice President:
Anticipated Advertising Date:
Advertising and Recruitment Plan
Temporary Employee Information
Recommended Employee:
Education: Experience :
How this person was identified:
Explain:
Anticipated Start Date:
Recruitment Plan:
Additional Information:
Recommended Salary:
Mailing Address:
**Please Attach Resume**
6/14/19
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