No. of Person(s)
Date Needed By:
If position is temporary, how long will person(s) be needed?
Hours Available: (Part-time - scheduled 30 hrs. or less weekly or Full-time - scheduled 30-40 hrs. weekly)
Indicate all shift times needed: (Note whether shift is a.m. or p.m.)
Days of the Week Needed: (Check all that apply)
Requested By: (Supervisor)
Approved By: (Department Manager)