University of Louisville Tempora


University of Louisville Temporary Services Assignment Request
*Required
*Requesting Manager	Phone Fax*	*Email
*Department Name and Number
Reason for Temp Request Vacation Coverage Medical Leave Vacant Position Family Medical Leave Special Project Peak Workload Other
Start Date Estimated End Date*
*Days of Week/Work Hours Sun Mon Tue Wed Thurs Fri Sat
*Address and Person temp employee should report to:
*Job Title
Job Description/Summary of Duties/Specific Skills Required:
Duties:
Minimum Required Education/Certification:
Dress Code:
*Person Authorizing Request	Phone Fax*	Email
PO Number: