Midwestern State University
Personnel Requisition Form

Position Information
Originating Department / College:
Job Classification Title
Job Title 1:
Job Title 2:
Job Title 3:
Job Title 4:
Job Status
New position? yes

If no, what was the name of the
previous employee in this position?

What was the effective date of the change? (if applicable)
Is this position open to on-campus (MSU) employees only? yes
If yes, for how many days numbers only - NO TEXT
MSU Account Information
Account 1: account numbers only - NO TEXT
Account 2: account numbers only - NO TEXT
Account 3: account numbers only - NO TEXT
Account 4: account numbers only - NO TEXT
Salary and Dates
Current Annual Budgeted Salary:
Annual Starting Salary:
(in accordance with the pay plan)
Starting Monthly Salary:
(in accordance with the pay plan)
Starting Date:
Additional comments regarding salary,
work schedule, and/or job requirements:

(if position is less than 12 months please indicate here.

Information for Human Resources Department
What other methods are you using to recruit for this position?
( Campus Career Office, Postings on Campus, Local Newspaper)

Before placing ad, please send via email to Human Resources Department for approval. After approval, the department is responsible for placing the ad.
Application Procedure:
All job applications will list the following requirements
  • State application
Please list any ADDITIONAL application requirements for this position in the box to the right.

Contact Information - list Person Responsible for filling this position
(will NOT display on public website, only for use by Human Resources Department)
Contact Name:
Contact Title:
Contact Dept:
Contact Email:
Contact Phone:
Contact Fax:
Contact Web: