Section II. Item 16,1.
Download this form in PDF Format.
Note: This form must accompany a "Position Request Form" and "Memo of Justification for Waiver of External Search." Please see the Instructions here.
Date: __________________
Note: This form must accompany a “Position Request Form” and “Memo of Justification for Waiver of External Search.” Instructions are attached.
Position Number:_________________
Position Title: ________________________________________________________________
College/Division:______________________________________________________________
Department:__________________________________________________________________
Account Code:________________________________________________________________
Contract period:____________ Number of months:_____ Effective Date: __________
Type of appointment (indicate all choices that apply):
Full Time_____ Part Time _____ (_____%) Regular_____ Temporary_____
Request for Waiver of Search:
_____ A. Waive national/regional search. Campus search only
_____ B. Search Waiver. Internal promotion/reassignment for:
_________________________________________________________________
_____ C. Search Waiver. One year temporary appointment for:
__________________________________________________________________
_____ D. Search Waiver. Fill position with a regular, continuing appointment for:
__________________________________________________________________
Required signatures for consideration search waiver:
__________________________________________ _____________
Department Chair/Director Date
__________________________________________ _____________
College/Division Affirmative Action Representative Date
__________________________________________ _____________
Divisional Affirmative Action Representative Date
Search Waiver granted: ______yes _____no _____________
Date
___________________________________________
President/HRS/Affirmative Action and Diversity Resources
(This form supercedes any previous form entitled the same)
Below this line for internal use only:
Waiver request #_________ Position request: ____ Memo of Justification: ____ 3/02
Approved by the Senior Cabinet, March 25, 1997
Revision approved by Associate Vice President for Administration and Human Resource Services, May 9, 2003
Last Updated: 5/9/03