Temporary Employment Requisition

To;

Date:

Number of Temporary Employees:

Position/Duties:

Department:

Supervisor:

Starting Dates: To:

Shift:

To:

Reasons for Requisition:

Estimated Cost $..............

Budget Number $ ...............

Budgeted? [ ] Yes [ ] No

___________________________ Date:

Signature

___________________________

Approved by

Temporary personnel are not allowed employment beyond approval period or for an amount above estimated expense, unless approved in advance.

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