Staff Requisition Form
Staff Requisition Form
Please attach a Position Description Questionnaire (PDQ) that has been completed within the last 12
months.
Date:
Position Title: Department:
Supervisor: Hiring Contact (if other than supervisor)
☐ Full Time ☐ Part‐Time ☐ Regular ☐Temporary
Number of months per year Beginning and ending month/date of
appointment
Hours per week
Desired Start date
☐ New Position (include justification including anticipated budget impact, additional alternatives that
have been considered, consequences if not approved)
☐ Replacement of existing position Previous Incumbent:
Previous Salary:
☐ ChangeƚŽƉŽƐŝƚŝŽŶ͕ŝ͘Ğ͘salary͕ŝŶƚĞƌŝŵƉĞƌƐŽŶŶĞů͕ŝŶƚĞƌŶĂůƉƌŽŵŽƚŝŽŶ or duties/length of appointment
;WůĞĂƐĞdescribe; attach updated PDQ ŝĨƐŝŐŶŝĨŝĐĂŶƚĐŚĂŶŐĞƐĂƌĞƉƌŽƉŽƐĞĚ͘Ϳ
Salary Requested (including justification, if requesting change):
Budget Code:
Minimum Preferred
Education
Work Experience
Other
Advertising Request
☐ N/A
☐ No recruiting
required – i.e. filled with
internal promotion of:
☐ Internal Posting Only
☐ Add External Free or subscription advertising (includes 10 local diversity organizations,
and links on IWU LinkedIn bio page:
☐ Indeed ☐ HigherEdJobs.com ☐ InsideHigherEd
☐ HERC ☐ IL Job Link
Advertising at additional cost:
☐ Pantagraph ☐ ☐
☐ ☐
Approved/
Declined Signature Date
Submitter:
VP
HR Salary
Suggested
VP Business
& Finance
4.20.20