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A&P and Staff Hiring Request Form

Supervisor's Name:
Department:   Other:
Position Title:
Source of funds: Hard Funds     Contract & Grants

Appointment Term:

Funds available for: Years
Budgeted Salary:
Search Committee: Chair     Members
Proposed Start Date:
Responsibilities:
Minimum Qualifications:
Degree Required:
Years of Experience Required:
Type of Experience Required:
Other Minimum Qualifications ( such as certifications, licenses, etc.):
Recruitment Sources:
Advertisments(Professional Journals, Newpapers, etc.)
Websites and ListServers
Other Contract Recruitment Sources
Standard COA Minority and Women Recruitment Sources
Professional Meetings, conferences, etc.



A&P and Staff Hiring Request Form: Effective September 1, 2005