PERSONNEL REQUEST
______________________________________ □ Administrative □ Faculty
JOB TITLE
□ Professional □ Classified
DEPARTMENT NAME BUDGET#
(ex. 3-21045)
DEPARTMENT#
(ex. E0501)
OBJECT
CODE
(ex. 2410)
SALARY
Hourly Monthly Annual
I I
Pay Grade__________ Pay Step __________ Number of Months Employment: □ 9 □ 10 □ 11 □ 12
Work Week: □
37 ½ (Faculty Only)
□ 40 □ Other If other, specify_______________________
BEGINNING EMPLOYMENT DATE:__________________ THROUGH:__________________(Date)
1. POSITION APPROVED FOR CURRENT BUDGET? □ Yes □ No
2. NEW POSITION? □ Yes □ No REPLACEMENT FOR:_______________________
3. SPECIAL PROVISIONS____________________________________________________
4. PROPOSED CLOSING DATE FOR ACCEPTING APPLICATIONS__________________
5. PROPOSED EMPLOYMENT DATE___________________________________________
6. THE AD IS TO BE RUN ON THE FOLLOWING DATE(S)
NOTE: LEAD TIME OF FOUR (4) BUSINESS DAYS IS REQUIRED FOR PLACEMENT OF ADS
(i.e. – if an ad is to be run on Sunday, it must be received in the Personnel Office the previous Monday)
Name of Paper Date to Run Name of Paper Date to Run
Name of Paper Date to Run Name of Paper Date to Run
Requested by_______________________________________________________________
Title Date
Approved__________________________________________________________________
Date
Approved__________________________________________________________________
Department Vice President Date
Approved__________________________________________________________________
Human Resources Director Date
Approved__________________________________________________________________
Vice President for Fiscal Affairs Date
Approved__________________________________________________________________
President Date
