STEPS Employee Request Form Please complete the following information and press SUBMIT to send your request to STEPS Temporary Employment. Job Information Job description Start date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20122013201420152016 Skills, knowledge, abilities desired Please list the qualities you would like to see in candidates for this position. Physical requirements of the position Will this STEPS employee be considered a Campus Security Authority? yes no unsure Dress code # of employees needed Cost center # Department # Department name Supervisor Supervisor name Supervisor phone Supervisor email Contact Person Contact name Contact phone Contact email Job Details Reporting Address (include speed sort) Work shift Hours per week hrs/wk Anticipated length of assignment Reason for need (vacancy, extra help, FMLA, etc.) If you have chosen a candidate(s) for this position, please include name(s) here. If available, please include contact information for selected candidate(s) (phone number, email, etc). Is this to replace a current or previous STEPS employee? yes no If so, please indicate name of employee and last day worked.