Date of Request
Please leave this field empty.

Classification Completed Date

New RecruitmentNew PositionModify PositionInactivate PositionReclassification/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)

Job Code (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/Effective Start Date:

Is there a NTE Date? If so, please provide

Funding Index

Reports to Position Number

Svc Code

Bargaining Unit

Salary Requested

Employment Type
FTPTFT(temp)PT(temp)Intermittent

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

Is this a Supervisory position?
YesNo
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

File attachment

Please upload the signed budget request form signed by the supervisor

Δ