Temporary Employment Policy
Request to Hire a Full-Time Temporary Employee
Requestor: Department: __________________________
T#:_________________ Employee Name: _________________________________
Start Date of Appointment: End Date:
Total estimated work hours per week:
Time Period for over 29 hours: Start Date: End Date:
Reason for exception:
Index code to fund health insurance? (required)
Requestor:
Department Signature Date
Approved:
Human Resources Date
* Exception will not be approved if the department cannot fund health insurance.
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signature
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