For Academic and Non-academic positions
- This form is to ensure all necessary information for filling any positions within MSUE is provided for approval. This information will also serve as a guide for posting positions on the MSU Applicant Page.
- This document must be completed and approved by all applicable parties before a recruitment effort may begin.
- Include an updated Position Description when sending this document to MSUE HR.
Position Information
Position Requested by:
Required / Click here to enter text. / Requestor’s Title:
Required / Click here to enter text. /
Date of Request: / Click here to enter a date. / Desired Date of Hire: / Click here to enter a date. /
Position Supervisor:
Non-academic positions / Click here to enter text. / Type of Position: / Choose an item. /
Reason for Request: / Choose an item. / To replace: / Click here to enter text. /
Position Title: / Choose an item. / Other Position Title:
Must align with approved MSU/MSUE titles / Click here to enter text. /
Position Program/Initiative: / Click here to enter text. / Institute: / Choose an item. /
District: / Choose an item. / FTE: / Choose an item. / Starting Pay: / Click here to enter text. /
Primary County Office:
Street Address/City/Zip / Click here to enter text. /
Primary Coverage Area:
If specific to position / Click here to enter text. /
Fill in the desired schedule for this position.
Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Languages, other than English, desired in the candidate for this position:
☐ None / 1st Preference: / Click here to enter text. / 2nd Preference: / Click here to enter text. /
Recruiting
Complete this section for
All Positions
Desired date of posting: / Click here to enter a date. / Length of posting:
Minimum 14 days for Academic positions / Click here to enter text. /
Who may apply for this position? / MSUE Staff Only /
Additional Posting Information:
The Position Description, including minimum and desired qualifications, will be used to create the posting. If there is any additional information you wish to be included in the posting, please indicate that here
Click here to enter text. /
Interview/Search Committee Names (If known):
- The Institute Director retains the prerogative for involvement in any interview process, at whatever level desired, whether in person or by representation.
- The ID, DC & SE, when appropriate, will determine who takes the lead on recruiting effort. The lead should be the first individual list below.
Click here to enter text. /
Complete this section for
Academic Positions Only
- If the position is a Fixed-term position, please provide the initial end date.
- Fixed-term positions may not have an appointment greater than 12 months.
End Dated Position? / Choose an item. / End Date: / Click here to enter a date. /
Will MSUE HR assistance be needed to advertise this position? / Choose an item. /
If assistance is needed with ad placement what are the desired advertising locations? / Click here to enter text. /
Complete this section for
Non-academic/Support Positions Only
Interview location: / Click here to enter text. /
Institute Director Involvement:
(choose all that apply)
☐ / Will receive/review all resumes
☐ / Will determine makeup of search committee
☐ / Will be (or have a representative) involved in interviews / Representative: / Click here to enter text. /
☐ / Other (please describe): / Click here to enter text. /
Funding for Salary & Fringes
If the funding for the position is end-dated, include the end date
☐ / Institute- State and/or Federal Smith-Lever Appropriations
☐ / County MoA
With this option, a signed memorandum must be on file in the Extension Business Office / Current MoA end date:
☐ / Other Grant
If grant ends before 1 yr end date provide secondary acct. # / Grant end date:
☐ / Other Partner/ Organization: Click here to enter text. / Funding end date:
Account Name / Account Number / Percentage %
Must total 100% - attach additional page if needed
Hire Authorization
☐ / Institute Director has approved this hiring request.
☐ / Director’s office is aware of and authorizes this hiring request.
☐ / District Coordinator has been made aware of and will be involved in the recruiting process for this position.
☐ / Institute Fiscal Officer is aware this position is being filled with the above-noted funding.
Approvals
Institute Director & Business office/ Fiscal Officer approval will be sought by MSUE HR upon receipt of this request
District Coordinator: / Date:
Institute Director: / Date:
Fiscal Officer: / Date:
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