Please Complete Form, Attach Supporting Documents and Forward to the Office of Human Resources

Position Requisition Transition Form

Please complete form, attach supporting documents and forward to the Office of Human Resources

Empl ID / Empl Rcd # / PIN / Action
HIREPOSTINGUPDATERENEWAL / Current Date:
Applicant Information
Name: (last, first) / County:
Address: / City: / State: / Zip Code:
Employee Class(select one)
Fac Staff / Fac 12 Month / Regular Exempt / Regular Nonexempt / Adjunct
FTNTTFAC / Cont Ex LI / Cont Ex L2 / Cont NE LI / ContNE L2 / Student
1 Fund Source: 2Fund Source: 3Fund Source: / Distribution %: Distribution %: Distribution %: / Budget Use ONLY
1 Account Code: ______2 Account Code: ______
3 Account Code: ______
Employment Department(Select One Dept ONLY)
A – B
Academic AdvisementAcademic AffairsAcademic Support ServicesAccounting & Mgmt Info SystemsAdministration & FinanceAdmissionsApplied Psych & Rehab CounselingAthleticsBachelor of Science in NursingBudget OfficeBusiness Services / C - D
Campus Technology ServicesCapital PlanningCareer Services CenterCtr for Counseling & Student DevelpmtChild Care CenterClient ComputingCollege of Arts/Science and EducCollege of Behavioral/Social SciencesCollege of BusinessCollege of Health ProfessionsCHP-Student Affairs/RetentionCommunity Health CenterControllerCoppin AcademyCrim Justice & App Soc/Pol SciCustodial ServicesDigital Audio/Visual ServicesDisability Support ServicesDoctor of Nursing Practice / E – H
Eagle Card ServicesEnrollment MgmtEvents & Conference ServicesFacilities and Cap Proj & PlanFinancial AidGraduate StudiesHealth and Health EducationHealth Information ManagementHonors ProgramHousingHuman ResourcesHumanities
I - M
Information SystemsInformation TechnologyInst Ldrshp & Prof DevelpmtInstitutional AdvancementInstitutional ResearchInstructional TechnologyInterdisciplinary StudiesLibraryMail ServicesMaintenanceManagement & MarketingMarketing & Creative ServicesMaster of Science in NursingMathematics & Computer Science / N - R
Natural SciencesNetwork SupportOffice of Assoc VP Student AffairsOffice of the PresidentParking & Transportation SvcsPlanning & AssessmentPolice DepartmentPrint ServicesProcurementProcurement & Business Services (AVP)RecordsRecreation & WellnessResidence LifeRosemont Elem/Middle Schl / S - Z
School of Allied HealthSchool of Arts & ScienceSchool of EducationSchool of NursingSocial WorkSport & Entertainment MgmtStudent ActivitiesStudent AffairsStudent Support ServicesTeaching & LearningTelecom & Infrastructure SvcsUniversity College/1st Yr ExpUniversity RelationsWeb Development
Course Information
Course : / Course Level: / Section:
Course : / Course Level: / Section:
Course : / Course Level: / Section:
Course : / Course Level: / Section:
Job Details
Job Code: / Job Code Description:
/ Supervisor:
/ Contractual Staff ONLY
Start Date: / End Date:
Job Duties: (maximum 500 character, including spaces available)
Total Contract (Budget ONLY) / Reg/Temp
RegularTemporary / Full /Part-Time
Full-TimePart-Time / Standard Hrs/Wk / Hours/Day / Days/Week
Contract Amount (Annual Salary) / Daily Rate (Adjunct ONLY) / Hourly Rate / No. Days (Adjunct ONLY) / Work State
Approvals
Originator (Please type or print) / Signature* / Date* / Ext.*
Director/Chair (Please type or print) / Signature* / Date
Dean (Please type or print) / Signature* / Date
Vice President (Please type or print) / Signature* / Date
Title III Director (Please type or print) / Signature* / Date
Budget Office (Please type or print) / Signature* / Date
Office of Human Resources (Please type or print) / Signature* / Date Processed

12/22/2018