U-Temps Personnel Requisition Form U-Temps Personnel Requisition Form Name (of person filling out the form) * Required First Last Email (of person filling out the form) * Required Department * RequiredSlot Number * RequiredPhone # (of person filling out the form) * RequiredFund # & Cost Center * RequiredEx. 111-1005635Supervisor Name * Required First Last Supervisor Phone # * RequiredUTemp Applicant Name (if known) First Last Attach Temp Resume (if applicable)Building/Room # * RequiredJob Title * RequiredJob Description (Formerly PCQ) * RequiredRequested Hourly Pay Rate (all temps are paid at the entry wage rate.) * RequiredAssignment Start Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Assignment End Date - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Work HoursEx. 8:00am-5:00pmHours per Week * RequiredDo you want to interview the candidate(s)? * Required Yes No Candidate(s) already chosen Justification (give the reason as to why the temp position is requested). * Required.Special Requirements (beyond the minimums) * RequiredPhysical RequirementsStand * RequiredNeverOccasionallyFrequentlyContinuouslySit * RequiredNeverOccasionallyFrequentlyContinuouslyWalk * RequiredNeverOccasionallyFrequentlyContinouslyBend, craw, crouch, kneel, stoop or reach overhead * RequiredNeverOccasionallyFrequentlyContinouslyLift, push, pull, carry weight * Required10 lbs or less11 - 25 lbs26 - 50 lbs51 - 99 lbs100+ lbsUse hands to touch, handle or feel * RequiredNeverOccasionallyFrequentlyContinuouslyTalk * RequiredNeverOccasionallyFrequentlyContinouslyHear * RequiredNeverOccasionallyFrequentlyContinuouslyTaste or smell * RequiredNeverOccasionallyFrequentlyContinuouslyRead, concentrate, think analytically * RequiredNeverOccasionallyFrequentlyContinuouslyPhysical Environment (hold the Ctrl key and click) * RequiredInside Classroom SettingInside Office EnvironmentInside Laboratory EnvironmentOutdoor Weather ConditionsNoise Level * RequiredQuietModerateLoudVisual Requirements (hold the Ctrl key and click) * RequiredColor discriminationDepth perceptionFar visual acuityNear visual acuityNot requiredHazards (hold the Ctrl key and click) * RequiredNoneBiologicalChemicalElectricalFumes/Gases/OdorsRadiationDustHeavy machinerySharp object/tools