REQUEST TO APPOINT

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					TO:


FROM:


DATE:

RE:            REQUEST TO APPOINT

We would like to appoint:     ____ Transfer                      ____ Contract***
                                                 ____ Open Candidate
                                                                      Conversion
NAME:                _______________________________________________________

SS#:                 _______________________________________________________

ADDRESS:             _______________________________________________________

                     _______________________________________________________
                                                                (zip code)

CLASSIFICATION: ______________________________________________________

PIN#:                 ______________________________________________________

EFFECTIVE DATE: ______________________________________________________

This request is to hire above base: ____ yes ____ no (Current State Employees Not
Eligible)

If yes, step requested: ______ (attach request to hire above base form and applicant's salary
demand letter)
                                     ________________________________


attachments: List of applicants interviewed & status
             MS 100 – State Application
             Release of Information (signed)***
             Criminal Background Form (signed)***
             Receipt of Position Description (signed)***
             Reference Check***
             EEO Applicant Data Form
             Above base salary request (if applied)
             Copy of Contracts***                                                 Rev. 1/11/01

				
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posted:7/20/2011
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