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Section 1 Position Details - Completed by Hiring Manager/Requester
Section 2 - Fiscal Analysis - Completed by Hiring Manager/Requester with Fiscal Services
Section 3 Link to College Objectives - Completed by Hiring Manager/Requester
Section 4 Request and Review Signatures - Signed by Hiring Manager/Requester, Dean/Director (if applicable), Division VP / EVP
Section 5 Approval Signatures Signed by President, Controller, VP-HR
SECTION 3: LINK TO COLLEGE OBJECTIVES
STAFFING REQUEST FORM
Type of Position:
Position Number:
Job Schedule: 1
New
Replacement For (Name & K#)
Position Title:
12mo. Percent:
Salary Table/ Range: Supervisor/Manager:
Permanent: Interim: Duration/End Date:_____________________________
Department (Org) Name:
Primary Funding Source (Budget Code): %
Secondary Funding Source (Split Position): %
Is position currently in budget: No
What is the increase or decrease in costs for the position:
Will the increase in costs for the position be offset by any reduction in short term workers: Yes No
If yes, dollar amount:
Total increase or decrease in costs:
*Reductions in other areas of department budgets to offset increases in salaries should not be considered.
Please describe the fiscal impact the requested position will have on the funding source(s):
How does this position relate to student success or the successful operations of the college?
SECTION 1: POSITION DETAILS
0mo.
11mo
SECTION 2: FISCAL ANALYSIS
Yes
SECTION 5: APPROVAL SIGNATURES
What are the implications of not having this position?
Supervisor Signature: Date:
Dean/Director Signature (If applicable): Date:
Division VP / EVP Signature: Date:
PC Approval (President): Date:
Controller Approval: Date:
VP HR Signature: Date:
Once completed, this form is routed as follows: PC (President) signs VP Business Services brings to
Controller Controller signs Hard copy sent to HR VP Business Services emails copy to cabinet.
SECTION 4: REQUEST & REVIEW SIGNATURES
click to sign
signature
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signature
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signature
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signature
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