Government Personnel Requisition Form
Submit a request to hire or assign personnel for your department. Please provide all required details for review and approval.
Requesting Department
*
Please Select
Human Resources
Finance
Public Works
Health Services
Education
Other
Position Title Requested
*
Type of Position
*
Full-Time
Part-Time
Temporary/Contractual
Internship
Other
Number of Personnel Needed
*
Desired Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Requisition / Justification
*
Required Qualifications and Skills
*
Urgency Level
*
Immediate
Within 1 Month
Within 3 Months
Flexible
Requester’s Full Name
*
First Name
Last Name
Requester’s Email Address
*
example@example.com
Requester’s Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor/Manager Name for Approval
*
First Name
Last Name
Additional Comments or Notes
Attach Supporting Documents (optional)
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