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Office of Human Resources
Employee Transfer Request
Please print the following information about yourself in pen
TO BE COMPLETED BY EMPLOYEE
Name (Print)
Employee No.
Department
Hours of Work
Present Classification
Requisition No.
Seniority Date
CLASSIFICATION BID FOR (as posted):
Job Title_ Date of Posting:
Department _Shift:
QUALIFICATIONS FOR WORK APPLIED FOR (You are encouraged to attach an updated resume)
REASON FOR TRANSFER REQUEST
NOTE: The filling of a new bid will cancel any other ACTIVE bid you may have in the Office of Human Resources.
All Blocks must be complete. You will be notified by your supervisor.
EMPLOYEE SIGNATURE
DATE
TO BE COMPLETED BY EMPLOYEE’S PRESENT SUPERVISOR
WILL A REPLACEMENT BE REQUIRED (check one):
Yes No Work week schedule (hours, etc.)
SUPERVISOR’S SIGNATURE
(PRINT NAME)
(PLEASE FORWARD TO THE OFFICE OF HUMAN RESOURCES)
FOR HIRING DEPARTMENT USE ONLY
DATE RECEIVED
DATE OF INTERVIEW
DISPOSITION
Approved Superseded
Denied Withdrawn
REASON FOR DENIAL
Seniority Qualifications
Cancellation Lower Rated Classification
Recent Bid Other
NOTES
BY
DATE
DISTRIBUTION: ORIGINAL-Hiring Unit/Department COPY-Employee COPY-Office of Human Resources, 413 Academy Street 01/2008
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