Job Requisition / Offer Approval
HR USE ONLY
Requisition Number
Date Received
Hiring Manager
Candidate Name
Candidate Hire Date
Division:
Department:
Anticipated Hire Date:
Job Title:
Full Time Part Time Piece-rate Temporary
Location of Position:
Hiring Manager:
Replacement
Employee Replaced: Name: Title:
Reason Replaced: Termination Transfer Promotion Other
New Position in Budget New Position Not in Budget Explain
Position Information
Most critical skills this candidate must have
_
Please attach a current job description that includes: Skill Summary, Responsibilities; Experience Required (Type and number
of years);Education and Qualifications; and Special Skills
Job Offer Request
Salaried Exempt Hourly Non-Exempt
Piece-rate Non-Exempt Other
Bonus/Commission Details (if applicable):
Vacation/Sick Time:
Standard None
Other
Fringe Benefits:
Cell Phone Credit or Allowance Car Allowance
Use of Co. Vehicle Other
Annual Exempt Salary Rate:
Requested Hourly Rate:
Other:
Approvals (Forward to Human Resources after receiving approvals)
Completed by:
Date:
Manager Approval:
Date:
Regional President Approval
Date:
HR Manager Approval:
Date: