Seasonal Employment Rehire Form
Employee Name
*
First Name
Last Name
Employee Number
Anticipated Start Date
*
/
Month
/
Day
Year
If the actual start date is before this date, you MUST notify Human Resources.
Primary Job
*
Grade
Step
*
Please Select
A
B
C
D
E
F
G
H
I
J
K
L
M
N
Secondary Job 1
Grade
Step
Please Select
A
B
C
D
E
F
G
H
I
J
K
L
M
N
Secondary Job 2
Grade
Step
Please Select
A
B
C
D
E
F
G
H
I
J
K
L
M
N
Additional Comments
If starting at anything other than an A step, justification must be provided in this space.
Supervisor Completing Form
*
First Name
Last Name
Supervisor's Email
*
example@example.com
Submit
Should be Empty: