Requisition Form
This form is used to post open Staff, and Student positions on the Emory Careers website.

General Information

 *Job Title (Descriptions):

*Division: 

 *Type of Employment 

Regular/Temporary: 

 *If administrative decision, is the candidate a relative of anyone else within the department as defined by Emory University Policy 4.11?
Yes  No

   Please provide further explanation: 
  

  Additional Job Details: (more specific details in order to get the best suited candidates)
 


  Preferred Qualifications:

 

Desired Start Date:
End Date (if applicable):
  Projected Annual Salary($):   Number of Positions:

Offsite Clocking Required: Yes  No
 Timekeeper:

  Full Time   Part Time 
  If part time, hours per week: 

  Reason for Vacancy: 

                     Comments: 


To Whom will this position report: 
In which building will this position be located: 

Work Hours:   Lunch:

Is this an approved E&G (Educational & General) budgeted position? 
 Yes   No 

*Justification and Prioritization (Must include any Projected Cost
Saving and detailed explanation of why the role is essential to daily operations of the department
)
 


Impact to organization if position is not filled:


 
*Describe all workable alternatives to filling the position that have been explored by departmental leadership prior to initiating the position request. (Ex: sharing services with another department(s), temporary staffing, reduction in FTE)
 

  *Salary Funding Sources: (Percentages must add up to 100%)

  Smartkey





Name  





Percentage(%)  





Does this position require significant (i.e., >30 days annually) work outside of the United States other than that solely related to attending conferences? Yes   No     If so, in what country(ies)?  
Will the person hired for this position have responsibility for hiring U.S. employees, local country nationals or third country nationals to work outside of the United States? Yes  No

Health and Safety Questions
       

Does this position involve supervising other employees? 
 Yes  No 

Will this position work for Emory Healthcare, the Schools of Medicine, Public Health, or Nursing, Yerkes, or the Psychological, Counseling or Student Health Centers AND do research that involves studying people or using information that identifies them? 
 Yes  No 

Does this position involve animal contact - Division of Animal Resources (DAR) or laboratory work with lab animals? 
 Yes  No 

Does this position work in a laboratory? 
 Yes  No 

Does this position involve work in a biosafety level 3 laboratory? 
 Yes  No 

Does this position involve clinical patient contact? 
 Yes  No 

Does this position involve radioactive materials and/or radiation devices? 
 Yes  No 

Does this position involve working with human blood, body fluids, tissues, cells, or other potentially infectious materials? 
 Yes  No 

Does this position involve working with nonhuman primates (nhp), nhp tissue, body fluids or equipment contaminated by nph? 
 Yes  No 

Does this position involve work with animals deliberately given infectious agents and/or involve work above animal biosafety level 1? 
 Yes  No 

Does this position involve working with patient information? 
 Yes  No 

Does this position involve shipping infectious agents or biological materials? 
 Yes  No 

Does this position involve working with a Class 3B or 4 laser? 
 Yes  No 

Will this employee be performing work where respiratory protection will be required? 
 Yes  No 

Does this position involve potential exposure to hazardous chemicals but work outside the laboratory? 
 Yes  No 

Will this employee need unescorted access to an irradiator? 
 Yes  No 


*Person submitting form:

*Email:
 
Any other Information that you wish to add:


By submitting this document, I attest that this position has been discussed with and approved by the Division Chief