Hiring Request Form Name of Requester*Tara Sabo-AttwoodAfsar AliJoseph BisesiAndrew KaneJohn LednickySong LiangAnthony MaurelliBernard OkechPosition*FacultyStaff (Teams-Exempt)Staff (Teams-Non Exempt)OPS (Temporary)Student AssistantGraduate AssistantPost Doc AssociateOtherWhat is the name of the position?Salary (yearly or hourly):*FTEStart Date/End Date:*Fund/Source(s):*Candidate name (if pre-selected):UFID (if applicable):Duties and Responsibilities*(EXAMPLE: Your activities will include: performing laboratory experiments, writing manuscripts, abstracts and potential proposals for funding and you will also be given the opportunity to attend relevant conferences. You will have considerable independence and yet be expected to be part of our Department of Environmental and Global Health team. Dr. XXXXXXXX will be your direct adviser and will review your performance. Additionally, we expect that you will be involved in many activities that will allow for cultural exchange among faculty, staff and students. During your stay here, we will be able to provide you with office space, lab facilities, clerical support and computer and internet access). Health Assessment:*Each job duty on this list triggers the need for health assessment clearance before an individual may begin work. Please check all job duties that apply. Animal Contact Commercial driver license Frequent reaching above shoulder Law enforcement Operation of special purpose vehicle Repetitive pulling and pushing Asbestos work Contact with Human blood (or OPIM) Human Pathogen Research.bsl2+bsl30 Noise (work area w excessive noise) Pesticide use Respirator use Climbing Heavy lifting Kneeling Patient Contact Repeated bending Scientific research diving None of the above job duties apply If Pre-Selected Candidate: Is candidate a relative?NEPOTISM POLICY: Employment of Relatives specifically prohibits the appointment of relatives or persons living in the same household to any position where a direct or indirect supervisory relationship would exist between relatives or would create a perceived or actual conflict of interest. This includes, but is not limited to appointment, compensation, assignment of work, evaluation, grants administration and sponsored research projects, and financial authority or transactions.YesNoNot ApplicableIf nepotism applies, please fill out the Nepotism Memo form (approved at all levels prior to hire date)Is individual a former UF employee?YesNoIf yes, fill out the Rehire Exception Request form and review the Rules about ReemploymentWill the employee work in an alternate work location?YesNoPlease fill out the form Alternate Work Location Agreement For OPS or Student Assistants Only: Is pay over $16.10 an hour?YesNoNot ApplicablePlease fill out the Pay Rate Justification Form For OPS or Student Assistants Only: Does FTE exceed .50?YesNoNot ApplicablePlease fill out the Hours Extension Form for total UF employmentPhoneThis field is for validation purposes and should be left unchanged.