Job RECRUITMENT Form

Instructions: All hiring or plans to hire open positions require City Manager (CM) approval. No recruitment can begin until written CM approval is presented to Personnel with this completed job form.
REQUEST to OPEN Date:
Position Title:
New Position Yes No
Eligibility List Yes No / Replacement Position Yes No
Eligibility List Yes No
Previous Employee Name (Complete if Replacement): / Exiting Salary/Step (Complete if Replacement):
Department (name & fund #): / Division (name & fund #):
Is the position to be opened as an INTERNAL ONLY posting? Yes No
Position Level: / Salary Range
Step 1: / Salary Range
Step 17:
Proposed Starting Salary: / Proposed Starting Date: / Proposed # of Positions to Fill:
Comments: (Explain why the need for the position exists. Attach documentation as needed).
Hiring Supervisor
Signature: / Dept Director
Signature:

APPROVAL to OPEN

Approved as Requested / Comments:
Approved with Corrections
Denied
CM Signature: Date:

RECRUITMENT

Job Description Updated / SPECIAL Ad or Other Instruction Needs:
Bulletin Updated
Intranet Posted
Job Line Posted
E-Mail Distributed
Hardcopy Distributed
Recruit CODE: / OPEN DATE: / CLOSE DATE:

REQUEST to MAKE JOB OFFER

1st Choice / 2nd Choice / 3rd Choice
Name: / Name: / Name:
Interview Date: / Interview Date: / Interview Date:
References Cmpltd by: / References Cmpltd by: / References Cmpltd by:
Offer Step & Salary: / Offer Step & Salary: / Offer Step & Salary:
Start Date: / Start Date: / Start Date:
Comments:
/ Comments: / Comments:
Eligibility List YES NO (If YES, Attach List of Names)

APPROVAL to MAKE JOB OFFER

Approved as Requested / Comments:
Approved with Corrections
Denied
CM Signature: Date:

COMPLETE JOB OFFER

1st Choice / 2nd Choice / 3rd Choice
Name: / Name: / Name:
Accepted Offer: YES NO / Accepted Offer: YES NO / Accepted Offer: YES NO
LMH Appt: / LMH: / LMH:
LMH Results: PASS FAIL / LMH Results: PASS FAIL / LMH Results: PASS FAIL
Start Date: / Start Date: / Start Date:
NEO: / NEO: / NEO:
Comments: / Comments: / Comments:
1st Regrets Sent On: / Final Regrets and File Closed On:

Over Over Over