Request to Hire Approval Form foR Civil Service Extra Help Personnel

Office of Human Resources

Southern Illinois University EDWARDSVILLE
Section 1: Request to Hire Civil Service Extra Help
1.	Legal Name:	Banner ID:
The department organization no. is	Department:
2.	The employee is to be paid:,	, a semi-monthly salary OR	, an hourly rate
AIS Account Title:	Budget Purpose:	Labor Dist%
AIS Account Title:	Budget Purpose:	Labor Dist%
AIS Account Title:	Budget Purpose:	Labor Dist%
3.	Type of Extra Help Appointment:
Extra Help Clerical/Secretarial	Extra Help Service/Maintenance
Extra Help Professional Non Faculty	Extra Help Technical/Paraprofessional
Skilled Crafts	Extra Help Exec., Admin., Managerial
Adjunct Biweekly/No Benefits	Adjunct Semi-monthly/No Benefits
4.	The effective date for this appointment is	From: To:
5.	This employee’s temporary appointment type is: Full-time OR Part-time at	%
(4 decimal places max on part-time, e.g., .3333=33.33)
6.	Incumbent is a retiree, as defined by the State University Retirement System	Yes	No
7.	Contact Person:	Phone:	Box :	Bldg:	Rm:
HR OFFICE USE ONLY:
8.	Appt. Type:	__________	Class Code:	__________	Position no. for NBAJOBS is	_________
Section 2: Type of Hire, Job Description, and Conditions
1.	Type of Hire:	New Hire	Rehire	*If Rehire, employee must meet all conditions and terms of appointment. Also, complete section 2, no. 4.
2.	Condition and Terms of Appointment:

The work will be casual or emergent in nature.

The amount of time for which the services are needed is not usually predictable.

The extra help position may be utilized for a maximum of 900 hours of actual work in any consecutive twelve (12) calendar months.

If the position accrues 900 hours, the position must be terminated and cannot be reestablished until six (6) calendar months.

Upon working 900 hours, an extra help employee cannot resume employment in any extra help appointment at a place of employment until thirty (30) calendar days have elapsed.

Hours worked by extra help employees must be substantiated by a daily time record.

Time records must be maintained in a format sufficient to satisfy requirements of the Ethics Act and University policy.
3.	Current Job Description:

4.	Previous Job Description (* If a Rehire):
Signature of Fiscal Officer
Date:___________
Signature of Dean or Director
Date:___________
Signature of Chancellor or Vice Chancellor
Date:___________
Human Resources Officer:___________________________
FICA: MED:	7/22/15 – previous versions obsolete

Crook, Gregory

2015-07-22

Chura, Joyree

SIUE