Workforce Request Form (WRF)

Workforce Request Form (WRF) - SOM/SON

School or Medical Center*

School of Medicine

School of Nursing

Department/Unit/Name*

If you do not know the number, you may type the word and it will show you what is available.

Select or enter value

Type of Request*

Create a New Position

Replace Existing Position Vacancy. Request to Recruit

Extend Existing Position End Date, as permitted by contract and policy.

Job (Payroll) Title*

If not listed please select other.

Select

If Job Title wasn't available and you selected other, please list that Job Title here*

Clinical/Non Clinical*

Clinical

Non Clinical

Number of Vacancies*

This is the number of positions that you are actively recruiting for.

Number of Direct Reports (if applicable)

Name of Former Incumbent

FTE (Upt to 1.0, Full-Time)

Duration * Does not apply to Career or Per Diem*

Only applicable for Contractor/TES

Select or enter value

Current Contract End Date*

SCID Number (if applicable)

Purchasing Approval Email*

Annie Reyes-Salgado (annreyes@ucdavis.edu)

Type*

Replacement

New - Budget Approved

New - Not Budgeted

Duration of Contract/Grant

Budgeted Range (if applicable)

Min-Max (ex: $0k-$0k)

I attest the department budget and productivity is favorable year-to-date.

Department is not in budget. See section below:

Reason for Recruitment*

Please select all that apply.

Essential UC Davis Health Functions

Health and Safety

Compliance with Federal, State, Local laws/regulations

Process Improvement/Efficiencies

Alignment with UC Davis Health Strategic Plan

Other

1. Describe rationale for vacancy or extension request.*

Please list the reason for the Vacancy or Extension (i.e. Retirement, Replacement, Termination, etc)

2. Business Justification*

3. If department is not meeting budget, what is the budget offset return from filling this position? Budget offset (reduced cost, increased revenue, other expected financial/operational benefits) *Not applicable for contract/grant funded positions.*

Submitter Email Address*

Person submitting the form.

Hiring Manager or Hiring Manager Direct Supervisor Name*

Hiring Manager or Hiring Manager Direct Supervisor Email*

Executive Director Approval Name*

Executive Director Approval Email*

Department Chair Name*

Department Chair Email*

Job Description and Org Chart*

Please attach the Job Description or SOW for the position you are recruiting for, as well as the Org Chart for that position.

Drag and drop files here or

Send me a copy of my responses