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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.
Mississippi Institutions of Higher Learning | 3825 Ridgewood Road | Jackson, MS 39211