Staffing Request Form

Staffing Request Form
System Office Human Resources
Please complete all applicable information prior to submittal
ACTION
Create New Position*
Extend Appointment
Work Out of Class (WOC)
Other, please specify:
Fill Existing Vacant Position*
Change FTE
Reclassfication/Reallocation*
*Attach position description, organization chart, and justification memo (if needed)
POSITION INFORMATION
Position Number
Name of Current or Previous Incumbent (if applicable)
FTE %
Classification/Proposed Classification
Working Title
Option Code (if applicable)
Division
Office Location
Proposed Start Date
Supervisor Name
Supervisor Phone Number
Proposed End Date
(if applicable)
Bargaining Unit
206 - AFSCME Clerical
207 - AFSCME Technical
214 - MAPE
216 - MMA
217 - Commissioner's Plan
218 - Non Unit
220 - Managerial Plan
220 - Excluded Administrator
Appointment Status
Full-Time
Part-Time
%
Work Schedule
M T W TH F SA SU
Employment Condition
Travel Required?
Unlimited
No
Hours of Work
Temporary (Up to 1 year)
Emergency (45 days or less)
Temporary Unclassified
Unclassified - Other
Yes
%
From
To
POSITION FUNDING
Cost Center #
Percentage
Cost Center #
Percentage
Cost Center #
Percentage
Cost Center #
Percentage

POSITION JUSTIFICATION
Is the position considered to be essential to reach department goals and the success of the division as a
whole? Please explain below:
YES NO
Can this position be combined with any other position (or Campus Service Cooperative) to increase
efficiency of operations for the division and to contribute to the success of the system? Please explain
below:
YES
NO
REVIEWED & APPROVED (NOTE: Ensure all information is complete before signing this document)
Division Director/Supervisor Date Division Cabinet Member
Date
Updated 9/26/11