WNMU Human Resources Department
Employment Requisition Form
1. Job Title:


2. Department:


 3. Works Hours:


 4. Starting/Ending Dates:
5. Advertise:
Internally ( ) Externally ( ) Simultaneously ( )		 6. Salary: 7. Hourly Rate of Pay:
8. Advertise in:
Silver City Daily Press ( )   Silver City Sun News ( )   Chronicle of Higher Education ( )
WNMU Webpage ( ) Dept. of Labor ( )   Deming ( )   Lordsburg Liberal ( )
Additional Advertising Please Specify:
9. Type of Employee: ( ) Staff     ( ) Faculty
     Regular Full-Time Yes ( ) No ( ) ( ) 9 Month
     Regular Part-Time Yes ( ) No ( ) ( ) 12 Month
     Temporary Full-Time   Yes ( ) No ( )
     Temporary Part-Time   Yes ( ) No ( )		 If part-time, number of hours per week: _____________
Days off-if not Sat/Sun: _____________
If temporary, ending date:
____ / _____ / _____
10A. Job Code: ___________          10B. ( ) Exempt ( ) Non- Exempt
10C. Job Description Attached? Yes ( ) No ( )
10D. Changes to Job Description (attach additional sheets if necessary):
10E. Minimum qualifications (include any changes):




 Field of Study (if degree is required):
10F. Preferred qualifications (include any changes):

11. Opening Due to:

Replacement:  ( )     Name: ____________________________________________________
New Position: ( )     Leave of Absence: ( )     Transfer: ( )     Resignation ( )
Retirement:     ( )     Deceased: ( )                  Termination: ( )
12. Approvals: Signature & Date


Supervisor/Director: __________________


VP Business: _______________________


Accounts/Grants:: ____________________

President: __________________________
(required effective July 1, 2001)

AA/EEO: __________________________
Vice President: _______________________

Account #: ___________________________

Account #: ___________________________



HR Director: __________________________


13. Applicant Hired:           Salary: $          Starting Date:        Comments:        
          

HRD May 25, 2001
Revised 10/22/2003