JOB REQUISITION FORM
Instructions
1. Complete and sign this form to request a job posting or job funding.
2. Attach the job description in Word format and an organizational chart if available.
3. Submit all documents to [email protected] to begin signature process.
DEPARTMENT INFORMATION
Department Name Department Location Department Building/Work Space
[ ] Main Campus [ ] Idaho Campus
[ ] CRC Campus [ ] Remote
STEP I: POSITION INFORMATION
Requested Position Title Supervisor Name and Title Job Level
Position Status Position Type Benefits Eligibility Weekly Hours
[ ] New Job [ ] Permanent Full-Time [ ] Full [ ] 40
[ ] Existing Job with Change [ ] Permanent Part-Time [ ] Partial [ ] 28
Current Incumbent(s) if Filled: [ ] Temporary Full-Time [ ] n/a [ ] 20
[ ] Temporary Part-Time [ ] Other ______
________________________________
Position Type Assignment Dates (if Temporary)
[ ] Cabinet [ ] Staff [ ] Intern [ ] Contractor Start Date: __________________________
[ ] Faculty [ ] Student Worker [ ] Volunteer [ ] Not Sure End Date: __________________________
Business case (e.g., cost benefit, alignment with mission, vision, values, etc.); attach documentation if helpful.
Do other positions need to be redefined or revised based on this new position or change? If so, please explain.
Notes
_________________________ ________________________________ __________________
Hiring Manager Name Hiring Manager Signature Date
_________________________ ________________________________ __________________
HR Name HR Signature Date
Revised 06/22/15
STEP II: FUNDING INFORMATION
Request Type
[ ] Already Budgeted/Permanent [ ] Non-Budgeted/Permanent Request
[ ] Already Budgeted with Pay Increase Request [ ] Non-Budgeted/Temporary Fund Request
[ ] Already Budgeted/Reallocation Request
Already Budgeted Amount Market Range Internal Range FOAP
Fund Request Already Budgeted w/ Increase Non-Budgeted/Permanent Non-Budgeted/Temporary
Base Pay $ $ $
Taxes $ $ $
Benefits $ $ $
Technology $ $ $
Office Supplies/Name Tag $ $ $
Training/Membership $ $ $
Other __________________ $ $ $
Total Request $ $ $
Notes (attach additional explanation if necessary)
All requests except reallocations: ________________________________ __________________
Cabinet Member Signature Date
_________________________ ________________________________ __________________
Finance Approver Name Finance Approver Signature Date
STEP III: RECRUITMENT INFORMATION
Eligibility Posting Duration
[ ] Internal Only [ ] 5 days - Internal Only [ ] 14 days [ ] Direct Appointment*
[ ] Internal and External [ ] 7 days [ ] 30 days * Requires Cabinet
[ ] N/A – Already Filled [ ] 10 days [ ] Other __________ approval
Dept Recruitment Contact Preferred Temporary Email Box Address Authorized Email Box Users
Estimated Starting Pay Range Include Pay Range in Posting Affirmative Action Notes
[ ] Yes [ ] No
Special Posting Requests or Other Notes
_________________________ ________________________________ __________________
Hiring Manager Name Hiring Manager Signature Date
_________________________ ________________________________ __________________
HR Name HR Signature Date
If Direct Appointment: ________________________________ __________________
Cabinet Member Signature Date
Revised 06/22/15
