Health and Human Services System

HR0101 (12/04) Health and Human Services System

Job Posting Request

To be completed by the hiring authority and sent to the agency human resources office, along with an HR0702, the standardized interview questions, and any skills tests. Position Information: Agency/Department/Program FLSA Exempt/Non-Exempt Classification Title Classification Number

Section/Area Functional Title

Position Number Job Location (including city)

Number of Openings Salary Range/ Salary Salary Group Percent Travel

Supervisor of Vacant Position Supervisor’s Telephone Number Supervisor’s City Supervisor’s Position Number

Contact Name (if other than supervisor of vacant position) Contact’s Telephone Number Contact’s City

Workweek Shift

Full-time Part-time Hours per week: Day Evening Night Weekends only Varied Duration Pre-employment Testing Required Regular Temporary : Yes No If Yes, specify: Method of Filling Vacancy: Open to (check one): External (All applicants) Internal (All current HHS employees) Internal (All current employees) Other (give details): Length of posting (check one): 10 days Open until filled Other (give details): Registration or Licensure Requirements: None Yes (list below):

Selection Criteria: Initial Criteria:

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Final Criteria:

Additional information to be included on job posting:

Additional application instructions:

Hiring Authority Signature Date

Additional Approvals (as required): Signature Date

Signature Date