Date of Request
Please leave this field empty.

RecruitmentReclassification/Desk AuditPay Increase/PromotionReporting ChangePosition ChangePosition Number RequestIndex ChangeDetailVolunteer/Pro-bonoAdditional Job/Record TransferResignationRetirementInvoluntary SeparationAppointment Extension(NTE)

EMPLID (PeopleSoft Employee ID)

Do you have an existing position number for this request?
YesNo: New Position

If yes, Position Number

Current Grade and Step

Job Title (required)

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
Full-TimePart-Time
Proposed Appointment Start Date:

Is there a NTE Date? If so, please provide

Will this request impact the current fiscal year's budget?
YesNo
Is this a Grant Funded Position?
YesNo

Is this a Supervisory position?
YesNo

What indexes are attached to this position? (required)

Will this request require budget reprogramming?
YesNoN/A
Will this position receive full benefits?
YesNoN/A

Contact Name (required)

Contact Title (required)

Division and/or Department (required)

Dept ID (required)

Supervisor/Hiring Manager (required)

Supervisor/Hiring Manager Position Number (required)

Phone

Your Email (required)

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

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

Dean/VP Name (required)

Dean/VP Contact Information (required)

Does this position need Banner Admin access? (required)
YesNo

Justification for the request (required)

File attachment

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