Request to Fill a Vacancy Form

Date:
Position Information
Position Title:
Incumbent:
New Position
Vacant Position
Modified Position
Department:
Supervisor’s Name & Title:
Job Description
In most cases, the job description will need to be updated. Please review the job description, update it as needed and attach a copy of it to this form. If you are unable to locate the job description within your department, please contact Human Resources at x7517.
If the position is new, please draft a new job description and review it with the HR Director to determine the salary and grade level.
Note: This request cannot be processed until a current position description is submitted.
Employment Status
Administrative
Support Staff
Physical Plant
Security/Police
9-month
10-month
12-month
Other
Regular hours worked:
to:
Proposed Salary Range (for Administrative positions only):
GL Account # to be paid from:
Available balance:
as of:
(date)
Distinguishing Characteristics (special hours required, working environment, travel):
List any job responsibilities that require physical demands (for example, stand more than 50% of workday, ability to lift up to 40-lbs, etc.):
Supervision of Others
List the number and title for position(s) that directly or indirectly report to this position (i.e. 3 support staff, 4 programmers, 2 student workers, etc.)