Date __________
Position title ________________________________________________
Department _________________________________________________
Hiring manager ______________________________________________
___ Full-time ___ Part-time
___Exempt ___ Nonexempt
___Salaried ___ Hourly
Recommended Salary Range: __________________________________
[ ] Weekly [ ] Hourly
[ ] Regular [ ] Temporary
[ ] Full time [ ] Part time
[ ] Day [ ]Swing [ ] Grave [ ] Differential
Preferred Start Date: _______________________
Reason for Recruitment
(New or updated job descriptions must be attached for all positions.)
___ Replacement position
Name of person being replaced_____________________________
Have the duties of this position changed? ___ Yes ___ No
(If yes, provide details in position information section.)
Pay grade/range _________________________________________
___ Reallocated position (reallocation of vacant, budgeted position within department)
Name of current vacant position_____________________________
Current pay grade/range
Recommended pay grade/range_____________________________
___ Budgeted new position (job description attached)
Budgeted pay grade/range________________________________
___ Nonbudgeted new position (job description attached)
Recommended pay grade/range____________________________
Position information/justification
(Indicate what changes were made to the job description or provide justification for new position.)
____________________________________________________________
____________________________________________________________
____________________________________________________________
Special advertising/recruitment request:____________________________
____________________________________________________________
Hiring Manager Approval _______________________ Date _________
Department Head Approval _____________________ Date _________
VP Approval _________________________________ Date _________
HR Approval _________________________________ Date _________
Please return to Human Resources once completed
________________________________________________________________________
Approval to Job Offer
This section to be completed by HR only
Name of Candidate ______________________
Proposed Wage __________ Proposed Start Date __________
Reason for Hire _____________________________________________
___________________________________________________________
Approved _______________________________________________
HR Director Date
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