TEMPORARY HOURS ARE NOT TO EXCEED
1039 HOURS PER YEAR.
Date
REQUEST TO HIRE TEMPORARY EMPLOYEE
Section I: To be completed by supervisor
Dept/Unit
Temporary Position No. of Temps Needed
Hours per week Weeks per Month
Months per Year Starting Date
Ending Date Work Time
Required Signatures
Immediate Supervisor:
Date:
Date:
Date:
Date:
Next Line Supervisor:
Next Line Supervisor:
Vice President of Unit:
Budget Approval
VP Finance:
Date:
Account Number: Position Number: FTE:
Name of Temp Personnel:
Date Started:
Salary:
SSN:
Section II: To be completed by Human Resources
Per Hour:Pay Grade:
WV-11: Date Sent: Date Approved:
Date Sent to Payroll:
NOTE:
Print Form