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PERSONNEL REQUEST ORDER
Phone: (859) 885-2886 or (800) 529-6284
Fax: (859)885-6667 or (800) 319-9770
E-mail: Jim Howell


Date: / /


Business Name:
Mailing Address:
City: State: Zip: -

Phone: ( ) -
Fax #: ( ) -
Call before sending fax?YesNo

Requested By:
Name:
Title: Dept:
Email address(recommended but not required):



Order For
Job Title:
Fill Date:

Permanent   Temporary
Full Time   Part Time
Compensation: Hourly  Salary  Commission  

Annual Compensation Range: $-$

List four major functional responsibilities of the positionto be filled, areas in which the employees will be spending the majority of their time:

1.
2.
3.
4.

Required Expertise/Training/Certifcation:


Will training be provided? yes   no Explain:

Number of work hours per week:

Special equipment/tools required:

Computer System?
Reynolds & Reynolds   Yes  No
ADP   Yes  No
EDS   Yes  No
UCS   Yes  No
Other   Yes  No 









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