[Company Name]

Request for Approval to Hire

Applicant Information
Requisition Number: Date:
Applicant Name: Last First M.I.
Job Title:
☐ Part Time ☐ Full Time ☐ Permanent ☐ Temporary ☐ Replacement ☐ New Position ☐ Hourly ☐ Exempt
Proposed Starting Salary: Start Date: Supervisor: Department:
Description of Duties:
Additional Comments:
Supervisor Signature Date
Approval to Hire
Approved Salary: Approved Classification:
Department Manager Signature Date
Confirmation of Offer
Offer Extended By:
Status of Offer: ☐ Accepted ☐ Declined
If accepted, confirmation sent to Human Resources for processing: ☐