Full time 100% Part Time %

Former Incumbent Name/Title:

Same Duties Changed Duties New Positon

Justification to fill position:

POSITION INFORMATION

ONLINE POSTING

Special/Degree Requirements (e.g. CDL, Professional License)

Driving Required? Yes No

Short Advertising Summary for Job Site (1-3 sentences to describe the position):

Application Method

(Check all that apply)

Resume ___

Cover Letter ___

Work History ___

License ___

Trades ___

Categories for Job Posting (Check all that apply)

__ Facilities, Skilled Trades, Maintenance__ Agricultural, Animal, Biological and Life Siences

__ Architecture, Construction, Planning

__ Communications, Editing

__ Custodial

__ Development, Alumni Affairs

__ Environment, Occupation Health and Safety

__ Extension, Outreach, Public Engagement

__ Food Science, Nutritional Science

__ Geology/Cartography

__ Graphic Design

__ Human Resources, Payroll

__ Instructional

__ Laboratory Technician, Research Specialists

__ Library, Museum, Arts

__ Marketing, Public Relations

__ Office and Administrative Support

__ Public Safety, Law Enforcement/Compliance

__ Transportation Services

Minimum Years of Experience/Relevant Work Experience (Academic Staff Positions):

Work Hours

Check if position requires: Nights: Occasionally Regularly

Weekends Occasionally Regularly

Holidays Occasionally Regularly

POSITION REQUEST FORM

UW-Madison Facilities Planning and Management Instructions: This form must be fully completed with required signatures and attachments. This includes a current position description, an organizational chart, screening criteria and interview questions. Send a DIGITAL copy to

FP&M HR.

PD# (HR Fills): ____________

UDDS:

Official Title: Working Title:

Department:

Appointment Type:

University Staff

University Fix Term Finite (Project)

Academic Staff

Academic Staff Fixed Term Terminal Finite (Project)

Position Control # (Physical Plant Only):

__ Accounting, Finance, Purchasing

__ Animal Care, Vet Medicine

__ Athletics

__ Computer Science

__ Dean/Director/Executive

__ Engineering

__ Event Planning, Program Coordination

__ Food Service, Food Production

__ Grant/Research/Contract Management

__ Health Care, Medical, Social Services

__ Informational Systems/Technology

__ Instructional Design

__ Management/Supervisory

__ Natural Resources, Environmental Sci

__ Plant Sciences

__ Quality, Risk Management, Compliance

__ Training, Employee Development

__ Web Design/Development

__ Other

Preferred Posting

Time (# of weeks):

Advertised minimum

starting salary/wage:

Other Ideas (e.g. Job Fairs, Trade Shows, Conferences, Specialized Job boards, Printed Flyers):

Other

__ Affirmative Action Email

__ UW-Madison

Unemployment Support

Group

__ Dane County Jobs

Advertising options with estimates:

Online Job Boards

__ Indeed.com (Free)

__ Craigslist ($25)

__ WisconsinTechConnect (Free)

__ LinkedIn (Varies)

__ Diverse Issues in Higher Ed

__ Nelson Institute Environmental Job Board (Free)

__ Online Only Capital City Hues ($90)

__ Online Only WI State Journal/Monster.com ($450)

__ Tribal College Journal ($150)

__ Latinos in Higher Ed ($200)

__ Equal Opportunities Job Board ($250)

__ APPA Website ($600)

__ SCUP (Varies)

__ Total Resources Network (Free)

Advertising Budget: Underutilized: Racial/Ethnic Minorities Yes No

Women Yes No

Print Publications

__ Capital City Hues ($150)

__ WI State Journal

(Automatically posted online - $750)

__ Hometown News

Group Dane County ($1100)

__ Hometown News Group

Southeast/Southwest Zones ($1720)

__ Great Dane County Shopper ($115)

__ Milwaukee Sentinel ($2000)

__ La Communidad News ($300)

__ Isthmus ($175)

__ The Madison Times ($300)

__ News Company (Depends on area)

Name/Title of Interview Panel:

Name/Title of Search & Screen Members:

SEARCH & SCREEN COMMITTEE What non-discriminatory job related criteria and method will be utilized to screen the pool?

Primary Screen – Minimum Requirements:

Secondary Screen - Attach Screening Criteria to this form.

INTERVIEW PANEL

DIRECT SUPERVISOR The Direct Supervisor is responsible for recruitment, assessment, and selection process.

Name/Title:

Name/Title of Interview Panel:

Describe Interview Process (e.g. # of interview rounds, length of interviews):

Attach Interview Questions to this form.

Asst/Assoc Director Signature Date

Director Signature Date

Deputy/AVC Signature Date

RECRUITMENT

ASSESSMENT