vacant position

THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER
Department of Internal Medicine

                                     Request to Fill Position

Date:

Requested by:

Department/Division:


Phone Number:

Position Title:

Position Status: _______ New       ________ Vacant

Fund Source:

Position
Responsibilities:






Effects if Position is
not Filled: (Briefly describe any negative impact to current service levels and/or any
compliance issues that will result if this position is not filled. Can the duties
described above be performed with existing staff through redeployment
and/or process improvements.








Recommended Salary:

Approval:
Division Director

Approval:
Director, Management Operations

Date:

updated: 8/17/00
Gayle.M.Lawrence@uth.tmc.edu

Requested by:
Department/Division:
Phone Number:
Position Title:
Position Status:	_______ New ________ Vacant
Fund Source:
Position Responsibilities:
Effects if Position is not Filled:	(Briefly describe any negative impact to current service levels and/or any compliance issues that will result if this position is not filled. Can the duties described above be performed with existing staff through redeployment and/or process improvements.

Recommended Salary:

Approval:	Division Director

Approval:	Director, Management Operations