Request / Justification to Fill a Vacant Position
Authorization is requested to fill the following vacant
position: Note: Please use separate form for each position.
1
Position Status: Regular Contract Hours per week ________
CandidatesName:________________________________________________________________
Position Title:
___________________________________________________________________
Department:
____________________________________________________________________
Requested Salary: _____________ Pay Scale: _____ Position became
vacant: ____/____/______
2
How did position become vacant? Resignation Termination Transfer
Budgeted Other _________________
3 Reason for requesting this position to be filled and / or
consequences of not filling the vacancy:
4 Education: ___________________________ Experience:
________________________________
5
Essential Job Functions
1. _____________________________________
2. _____________________________________
3. _____________________________________
4. _____________________________________
5. _____________________________________
6. _____________________________________
Additional job information including physical/ mental
demands:
Head of Departments Justification:
6
Comments of Director Finance on Budget Position:
_____________________________________
_______________________________________________________________________________
An approved copy of request to fill vacant position must be
forwarded to
Human Resource Department to start the Recruitment Process
