Position Authorization Request
Date Requested:
/
Month
/
Day
Year
Date
Requested by:
First Name
Last Name
Your Email:
example@example.com
Department:
Requested Position Title:
Projected Start Date:
-
Month
-
Day
Year
Date
Hours Per Week:
This Position Is:
Please Select
Full Time
Part Time
Temporary
Work Study
Through Date:
-
Month
-
Day
Year
Date
Budget Information
Fund Name:
Billing Code:
Total Budget for Position:
This Position is:
Exempt
Non-exempt
Salary/Hourly Rate of Pay:
Position Location:
What Will Need to be Purchased? Select all that apply.
Phone
Laptop
iPad
Tablet
No Purchase Needed
Other
Posting of Position
Please Select All That Apply:
This position does not need to be posted (only select if less than 6 months and less than 20hrs per week)
Internal Posting Only
Internal & External Posting (Indeed, Linkedin, ZipRecruiter, Work Source, Handshake)
With partners (Hiring Lead/Program Director Works with HR for this)
Screening
I would like the following individuals to see candidates via ATS (Select up to 2-4)
Who is the Hiring Lead?
*
First Name
Last Name
Person #1
*
Person #2
*
Person #3
Person #4
Please Select from the Following:
I would like HR to check references
I would like to check references myself (only with prior approval from HR)
Other
Interviewing
Who Would You Like On The Interview Panel?
Which Interview Would You Like HR to Participate In? (Select All That Apply)
First Interview
Second Interview
None
1st Interview Panel | Person #1
1st Interview Panel | Person #2
1st Interview Panel | Person #3
1st Interview Panel | Alternate Interviewer
2nd Interview Panel | Person #1
2nd Interview Panel | Person #2
2nd Interview Panel | Person #3
2nd Interview Panel | Alternate Interviewer
Other (Please Specify)
Your Signature
Additional Information
Additional Notes:
Continue
Continue
Should be Empty: