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Staff Requisition Form

This document is a staff requisition form used to request approval to fill an open position. It collects information about the position such as title, department, supervisor, hours, desired start date, minimum and preferred qualifications, and salary details. It also specifies whether the position is new, a replacement, or a change to an existing role. Approval is required from relevant administrators before moving forward with hiring.

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Dania Razi
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0% found this document useful (0 votes)
43 views2 pages

Staff Requisition Form

This document is a staff requisition form used to request approval to fill an open position. It collects information about the position such as title, department, supervisor, hours, desired start date, minimum and preferred qualifications, and salary details. It also specifies whether the position is new, a replacement, or a change to an existing role. Approval is required from relevant administrators before moving forward with hiring.

Uploaded by

Dania Razi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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 

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