Employee Requisition Form



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Date of Request Date New Hire Needed Job Title Department Hiring Manager: Number of Months to be Worked per Year 12 Number of Hours to be Worked per Week 40 11 30 10 20 9 Hiring Manager Phone Number: Other: Other: GL Account Number for position: What will be the position’s normal work schedule (days of week, shift, starting time, ending time, etc.) Weekends (frequency) Holidays (frequency) On-Call (frequency) Is this position a replacement yes no If yes, briefly explain the reason for the vacancy and why this position ought to be retained..

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