<p>HR0101 (12/04) Health and Human Services System</p><p>Job Posting Request</p><p>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</p><p>Section/Area Functional Title</p><p>Position Number Job Location (including city)</p><p>Number of Openings Salary Range/ Salary Salary Group Percent Travel</p><p>Supervisor of Vacant Position Supervisor’s Telephone Number Supervisor’s City Supervisor’s Position Number</p><p>Contact Name (if other than supervisor of vacant position) Contact’s Telephone Number Contact’s City</p><p>Workweek Shift</p><p>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):</p><p>Selection Criteria: Initial Criteria:</p><p>Page 1 of 2 HR0101 (12/04)</p><p>Final Criteria:</p><p>Additional information to be included on job posting:</p><p>Additional application instructions:</p><p>Hiring Authority Signature Date</p><p>Additional Approvals (as required): Signature Date</p><p>Signature Date</p><p>Signature Date</p><p>Signature Date</p><p>Page 2 of 2</p>