Complete in Quadruplicate
STATE OF KANSAS

 

Retain the PINK copy
D EPARTMENT OF CIVIL SERVICE Send the other three copies to Dept. of
801 HARRISON, TOPEKA Civil Service.

PERSONNEL REQUISITION

 

Agency Organization Unit

Title of Position
UNIVERSITY OF KANS Rep nt Cinw.

Proposed Pay Rate

 

 

Number of Sea pe ee aes oe is Name and Title of Former Incumbent

(Give only number and class if more than three)
° .
6S hn
Sic ceeccaleeiee per month Type of Vacancy:

 

Less: $....°PUGTS™.... maintenance Replacement

 

New Position”

 

Preferred Method of Filling Vacancy: Kind of Appointment: Starting Date.......... Let. w! pAh 3 Raa
Permanent [J Pl Work
wOriginal Appointment () Promotion Tempora ue p, _ - ace of oF
(] Reémployment (0 Transfer rom tud~ | seFesesecereeeeeee to... 99. seeeeceteeeeseeee . manips
Part-time 0 LAWRENCE
CL Reinstatement ;

Explain |

 

Describe the specific duties and responsibilities of the position or positions to be filled. Duties and responsibilities change from time to time, therefore a new
description should be prepared each time a position is to be filled.

If more space is needed, attach additional pages to this form. Explain any special qualifications
needed. If possible, avoid direct quotation from class specifications.

 

Equipment to be operated :

Essential special eae
Check sex required:

Se eae Wale: 25..202. bs. female

 

Employees Doing Similar Work Employees to be

Person who will
Supervised by Appointee

Supervise Appointee

 

Names and Titles (Give only number and class, if more than three) Number Class Title Name Class Title

F.c Allan Velen

 

 

 

 

 

 

 

 

 

 

Signature of Supervisor "@ Signature of Appointing Authority Date
FOR USE BY THE DEPARTMENT OF CIVIL SERVICE
Allocation Salary Method of Filling Vacancy List to be Used
By:
Date Signature of Director of State Civil Service
19-5024-0 9-42—10M Sets ages