LTE Request - New Position

 Please complete this form in its entirety to submit an LTE request for a new position.

 

Employee Name:

 

Department: 

 

Title:

   

Supervisor:

 

Dean/Director: 

 

Start Date:

  

End Date: 

  

Hourly Rate: 

  

Work Address:

   

Work Ext: 

 
*If not applicable, please enter "n/a"

Reason for Need:

   
   
 

Position Description:

 

Funding:

  

% of Payroll

 Account Number:

    

 Account Number:

   

 Account Number:

   


Requestor Information:

Name:

 

Department:

 

Email:

 

Ext: