Hiring Exception Request Form

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Position Title:

Position Number/OPS Job Code:

Department:

Division:

Submitted by:

Contact Information:

Reason for Exception (Select any that apply)

Position is critical to:

Campus and personal health and safety

Compliance with federal, state and local laws and regulations

Delivery of essential University services

Courses necessary for timely graduation

Advancement of the academic mission

Funding Source and

Distribution:

Proposed start date:

Criteria: (Please use attachments if necessary)

Explain the specific reason for the exception, including the function of this position and the direct impact

on core and essential business operations.

Explain the negative impact on essential or critical business operations of suspending, delaying, or freezing

the requested action.

Explain the other methodologies and/or options that have been explored and exhausted to avoid the

exception request.

Hiring Exception Request Form

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Explain how the job responsibilities of the position are currently being fulfilled.

Explain the responsibilities that can be performed by other staff.

Explain the stage of the hiring process for the position requested (if applicable).

What other positions are being held vacant in the department?

Dean, Director, or Department Head approver Date

Approved

Denied

Renisha Gibbs Date

Associate Vice President for Human Resources and F&A Chief of Staff

Please submit this form for review and approval via DocuSign (docusign.fsu.edu). In DocuSign, check the box

for “set signing order”, and add Renisha Gibbs ([email protected]u) with action "needs to sign". Then, add Amy

Espinosa (amy.espinosa@fsu.edu) as the last recipient with action "receives a copy". Enable the check boxes for

approval/denial in DocuSign when submitting the form.

Last Updated: 2/5/2021

Position Number

Approval Signatures