U-Temps Personnel Requisition Form

Name (of person filling out the form) * Required
First Last
Email (of person filling out the form) * Required
Department * Required
Slot Number * Required
Phone # (of person filling out the form) * Required
Fund # & Cost Center * Required
Ex. 111-1005635
Supervisor Name * Required
First Last
Supervisor Phone # * Required
UTemp Applicant Name (if known)
First Last
Attach Temp Resume (if applicable)
Building/Room # * Required
Job Title * Required
Job Description (Formerly PCQ) * Required
Requested Hourly Pay Rate (all temps are paid at the entry wage rate.) * Required
Assignment 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 Hours
Ex. 8:00am-5:00pm
Hours per Week * Required
Do 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) * Required
Physical Requirements
Stand * Required
Sit * Required
Walk * Required
Bend, craw, crouch, kneel, stoop or reach overhead * Required
Lift, push, pull, carry weight * Required
Use hands to touch, handle or feel * Required
Talk * Required
Hear * Required
Taste or smell * Required
Read, concentrate, think analytically * Required
Physical Environment (hold the Ctrl key and click) * Required
Noise Level * Required
Visual Requirements (hold the Ctrl key and click) * Required
Hazards (hold the Ctrl key and click) * Required

U-Temps Personnel Requisition Form

Physical Requirements