REQUEST TO RECRUIT
Department: ______________________________________________________________________________
Division: ______________________________________________________________________________
Submitted By: ______________________________________________________________________________
Contact Information: ______________________________________________________________________________
Position Information:
Proposed Title: ______________________________________________________________________________
This position is: _____ New _____ Vacant
Funding Source: Fund _____ Org _____ % ______
Fund _____ Org _____ % ______
If position is to be funded by a grant, please indicate duration of
time grant funding may be available: From _________________ to
___________________________ .
Position Type: _____ Faculty _____ Staff
Position Status: _____ Full-time _____ Part-time _____ Benefits-Eligible
Temporary from ___________ to ______________
____ 9-month ____ 10-month _____ 11- month ______ Other
Justification of Need: _________________________________________________________________
(Attach additional sheet if necessary) _________________________________________________________________
_________________________________________________________________
Earliest Date Position Available: _________________________________________________________________
Minimum Qualifications : _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Note: If this is a Classified Staff
position, a completed PIQ must be
attached.