HTML Preview Personnel Requisition Form page number 1.
Personnel Requisition Form
Detailed information on recruiting new employees is in Procedures 2100. Complete, print, sign and forward this form to the DIVISION OF HUMAN
* New positions - Please complete a Job Descr
iption Questionnaire and submit to the Compensation department at
hrcompensation@mdc.edu for review and approval, two weeks prior to posting.
TO BE COMPLETED BY DEPARTMENT:
Position Number:
Full-Time Part-Time
Number of Vac
ancies:
Job Family:
Reports To:
Operating Unit
Fund Code
(First and Last Name)
Budget Ref
ICS Dept. ID
Give Dates if Temporary: From: Status:
Replacement for:
To:
Desired Start Date:
(First and Last Name)
(EMPL ID#)
Reason for Incumbent Leaving: [Insert Drop Down Menu] Date: If Grant Funded Position/Give CPN #:
HIRING COMMITTEE ACCESS: Primary Hiring Manager:
(First and Last Name)
(EMPL ID#)
Secondary Hiring Manager:
(Chairperson)
(First and Last Name)
(EMPL ID#)
Interviewers (Committee Members):
(First and Last Name)
(EMPL ID#)
(First and Last Name)
(EMPL ID#)
(First and Last Name)
(EMPL ID#)
(First and Last Name) (EMPL ID#) (First and Last Name)
(EMPL ID#)
POSTING REQUIREMENTS: INTERNAL EXTERNAL
Addition requirement preferences (if applicable):
___________
_______________________________________________________________________________________________________
APPROVALS:
SIGNED: PRINT: Budget Manager Name/Position #/EMPL ID Date:
____________________________ ________________________________________________ ______________
APPROVED: PRINTNAME: (Campus/District Head or Dean) Date:
____________________________ ________________________________________________ ______________
FOR HUMAN RESOURCES USE ONLY
Pos #: __________________ Fund Code: _______ ICS: Job Code: _____________
Pay Grade: _______ ______Upgrade _____Downgrade Position Title: ________________________________________________
HR Approval: _________________________________________ Date: ________________
Employment Use: Date Posted: ______________ Reposted: _________________ Position ID #: _________________
Advertising Dates: Printed Media: _____________ Websites: __________________ Other Publication: ______________
FOR BUDGET USE ONLY
Funding Source: _________________________________ Fund: ______________ Status: ______Temporary ______Regular
Budget Approval: _____________________________________________ Date: ______________
Check One:
Title/Job
Code/Grade:
(Position Number)
Campus/Center
Select One
Select one
Temporary
Deceased
Temporary
Deceased
Reset