Recruitment Request Form
Enter a descriptive name for the search: (Example: "Postdoc for CFER 2/07")
 
Position Title (if applicable):
Rank:
FTE:  
Supervisor's Name:  
Supervisor's Phone#:  
Job Location:  
Supervisory Responsibilities:

Percentage of time devoted to supervisory duties:
# of employees supervised:  
Is a criminal background check required?:

Will this position be filled temporarily while search is conducted?:

Will this position be filled temporarily to replace a regular employee on leave?:

Appointment Basis:

Requested Posting Date:  
Requested Closing Date:  
Starting Pay Range:  
Payroll Index:  
Activity Code:
Anticipated Begin Date:  
Anticipated End Date:   (type N/A if indefinite)
Is this a Competitive or Non-competitive search?:

Name of Recommended Appointee (if non-competitive):
Search Committee (specify chair and name, sex & ethnicity of each member):  

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