REQUEST TO HIRE HOURLY PART-TIME EMPLOYEE
Use this form to hire hourly part-time employees.
NEW EMPLOYEES WILL NOT BE PLACED IN THE PAYROLL SYSTEM UNTIL A COMPLETE APPLICANT PACKET HAS
BEEN RECEIVED BY HUMAN RESOURCES.
Human Resources Information
Name:
Date Employment Begins:
Replaces:
Budget Information
Org/Dept Number:
Project Number :
Hourly Rate:
Comments
Hiring Approval
X
X
Hiring Official Signature/Date
Division Vice President Signature/Date
This portion to be completed by HR.
Position Number
Hourly Rate/Salary Plan:
Employee ID:
Job Code:
FLSA
Org/Dept. Code:
FICA
Project Number:
GDCP Enroll:
□ Yes
Director of HR Signature/Date: X
□ No
Timekeeping Password:
__________________________________________
VP of Finance & Administration Signature/Date: X
_______________________________