Mississippi IHL - Human Resources

Employee Requisition Form

SECTION I: INFORMATION FOR POSTING POSITION
Department Contact:
Email:
Phone:
Department Name:
Account Number (Banner Fund/Org) from which Employee will be Paid:
Date Position Must be Filled:
Job Title of Position:
Salary Range:

SECTION II: CHECK ALL APPROPRIATE
New Position:
Vacant Position:
Full-Time
Part-Time
Regular
Temporary
If new position, source of funding for position:
If vacancy, name of previous employee in position:

SECTION III: SUMMARY FOR POSITION POSTING
Include the following: Job Title Funding Source List Primary Duties Identify Qualifications skills education experience licenses requirements
Please email any related documents as attachments to hr@mississippi.edu.

ADDITIONAL ADVERTISING OF POSITION (Deparment will be charged advertising costs.)
Request Newspaper Ad:
If checked, identify newspapers:
Request Professional Publication Ad:
If checked, identify publications:

SECTION IV: APPROVALS
Budget Authority:	Date:
Assisstant Commissioner of Hiring Unit:	Date:
Deputy Commissioner of Finance & Administration:	Date:
Commissioner:	Date:

SECTION V: (FOR OFFICE OF HUMAN RESOURCES ONLY)
Job Number:
FLSA Status Assigned:	EXEMPT	NON-EXEMPT
Level:
Minimum Starting Salary:
Benefit Eligibility:	YES	NO
Posting Start Date:
Posting End Date:
Signature of Personnel Administrator:

ENTER THE CODE BELOW BEFORE SUBMITTING THE FORM



Office of Human Resources must make official offer of employment unless delegated to the hiring unit.

Employee Requisition (6/08) The IHL Executive Office is an EEO/AA/ADA/ADEA/Titles VII and IX Section 504 employer.