HR Intake Form

Date of Request

Request Type

Do you have an existing position number for this request?

YesNo: New Position

Area of Consideration (for recruits only)

Agency OnlyOpen to the PublicN/A

Job Posting Timeframe:

5 days (UDC Agency Only)10 days (External Recruitment)Open until filledN/A

Full time/Part Time


Proposed Effective Date:

Is there a NTE Date? If so, please provide

Will this request impact the current fiscal year's budget?


Is this a Grant Funded Position?


Is this a Supervisory position?


Will this request require budget reprogramming?


Will this position receive full benefits?


Please provide information for the person that will be managing this request.

Has this request been approved by your Dean and/or Vice President?


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