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2. Requested by/ Hiring Manager's Name
3. Today's Date
   Today's Date
4. Position Filled by Date:
   Position Filled by Date:
6. Position Title:
7. Is this a new position?

   1. Yes
   2. No
8. Position Previously Filled by:
   Mark N/A if new position
10. Rate of Pay

    1. Salary
    2. Hourly
11. Amount of Pay:
12. Approved in Budget

    1. Yes
    2. No
14. Posting:

    1. External
    2. Internal
15. Job Description Reviewed

    1. Yes
    2. No
16. Minimum Qualifications Assessed:

    1. Yes
    2. No
18. Final Job Description with Qualifications Attached:

    1. Yes
    2. No
19. Is this a contract position? If so the terms and conditions must be provided with this contract.
21. Approval- HR Signature
23. Approval- Finance Signature
25. Approval- City Administrator or Deputy City Administrator Signature
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field