REQUEST TO HIRE LUMP SUM TEMPORARY EMPLOYEE
Use this form to hire lump sum temporary 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:
Lump Sum Rate:
Comments
Hiring Approval
X
Hiring Official Signature / Date
X
Division Vice President Signature / Date
This portion to be c ompleted by HR.
Date of Hire:
Position Number
Employee ID:
Org. Code:
Salary Plan:
Job Code:
FLSA:
Project Number:
FICA:
GDCP Enroll:
Director of HR Signature / Date:
X
VP of Finance & Administration Signature / Date: X
□ Yes
□ No