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POSITION REQUISITION FORM

POSITION REQUISITION FORM - Human Resources!

POSITION REQUISITION FORM - Human Resources!

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Please provide a brief description of the need for the position and the work assignments:<br />

FINANCE (Please forward to Budget for Approval and Signature PRIOR to submitting to Human Resources)<br />

Funding Source(s)<br />

Cost Center Information<br />

State Funding<br />

Federal Funding<br />

Other (Please specify)<br />

Supplemental Funding<br />

Special Funding<br />

Cost Center #<br />

Cost Center #<br />

Percentage<br />

Percentage<br />

Cost Center #<br />

Percentage<br />

Position Budgeted? Yes No<br />

Funding Available? Yes No<br />

Budget Authorization<br />

Date<br />

REVIEWED & APPROVED (NOTE: Ensure all information is complete before signing this document and routing for next signature.)<br />

Department Director/Supervisor<br />

Date<br />

Division Cabinet Member<br />

Date<br />

Cabinet Date Chancellor Date<br />

Office of the Chancellor Human Resources<br />

Date<br />

NEW HIRE (HR OFFICE USE ONLY)<br />

Last Name First Name MI<br />

Effective Date of Hire<br />

If currently employed at another state<br />

agency, list agency name:<br />

MMB Vacancy #<br />

Final Classification<br />

FLSA Status<br />

Exempt - Professional<br />

Exempt - Combination<br />

Nonexempt<br />

Salary/Hourly Rate<br />

Step<br />

Exempt - Administrative<br />

Exempt - Executive Test

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