staff requisition form Requisition #

After completing the Staff Requisition Form please print form and obtain the necessary signatures. Please forward to

OHR by Wednesday, 5:00 pm for job posting the following Monday.

Posting Date: Department:

New position Replacement for:

Job Title: Salary level: Job Code:

Position reports to: Title:

Please attach a copy of the current job description for this position.

Full-time/regular Part-time/regular Hours Per Week Appointment length:

Temporary (IF TEMP-length of appointment): Hours Per Week

Would you like to include salary range/rate in posting? Range/rate:

Background Check (s) required: Criminal History Credit Education

                                                     Employment                Credential          Motor Vehicle

    Newspaper advertising:    (Please list where you would like HR to advertise if known)

(OHR can provide suggested listings and pricing information for newspaper and internet advertising.)

Internet Website Advertising:

Please give professional associations and member I.D. if applicable for advertising:

Acct. No. to charge for advertising:

Posting Closing Date: Forward applications to:

For HR use only: Name of Person Hired: Start Date:

________________________________________ _____________________________________

Position Management (HR) Date Department Director Date

________________________________________ _____________________________________

  Director, Human Resources                     Date              CEO/CAO (as appropriate)                  Date
   (Final Signature)
                              _{Revised 06-20-06}