Georgia Tech OHR/Tech Temp Job Order Request Revised April 2005

Requestor: _________________________________________ Phone Number: _________________________ Hiring Manager: _________________________________ Phone Number: _________________________ HR Representative: _________________________________ Phone Number: _________________________

Date: ____/____/____

PLEASE CHECK ALL THAT APPLY: _________ Send me permission to access online application system to view Tech Temp applicant pool. (Recruitment needed)

(Access sent to Hiring Manager unless otherwise noted)

_________ Applicant referred by Department (No recruitment needed or recruitment complete) (If recruitment phase is complete applicant must report to OHR with job order & resume before beginning assignment)

_________ Moving from current position (Student, Regular, Affiliate, Etc.) to Tech Temp / Previous position terminated Y__ N __ _________ Request for review of title, duties, and resume for appropriate employment classification Applicant: ________________________________ Rehire: Y___ N___ Employee ID # (if applicable): ______________ Job Title: _________________________________ % Time Worked: _______ Salary (or range): ________________ Position requires Pre-employment Substance Abuse Screening Y___ N___ or Criminal History Check Y___ N___ (Effective June 1, 2005 all Tech Temp hires require a background check BEFORE beginning work Refer to HR Policies 5.6, 8.61, & 8.64)

Department has assigned GtID # or # already exists: Y___ N ___ GtID # _________________________________ Applicant was recruited from OHR online application system Y___ N ___ (if no, applicant must provide a resume) Dept. Name (non-abbreviated): ________________________________________ Dept. Fax #: __________ Home Dept. 3 digit # _____________ Work Dept. 3 digit #______________ Mail Code: ___________ Effective Hire Date: ________________ (Temps working 50% time or more may have a maximum one year assignment) Approximate Termination Date: _____________ (Department must notify HR/Tech Temps via email when employee stops working) Work Dept. PeopleSoft Position Number: _____________ (Check One) Misc. Exempt ____ Misc. Non-Exempt ____ Project Number(s): ___________________________ Percent Distribution _______ (PeopleSoft Account #s) ___________________________ Percent Distribution _______ ___________________________ Percent Distribution _______ (Must total 100%) Work Duties: _____________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Required Education/Skills/Experience/Equipment Operation: ____________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

DEPARTMENTAL & OHR APPROVAL Authorizing Signature: _______________________________ Authorizing Signature: ______________________________ Printed Name: _______________________________ Printed Name: ______________________________ OHR/ Reviewed by: __________________________ Date: ____________