Staff Temporary Work Opportunity Clearinghouse Form
Staff Temporary Work Opportunity Clearinghouse Form
I am a manager:
*
I am a manager:
seeking temporary employment opportunities for my staff (I have help to offer)
requesting temporary staffing assistance (I need help)
Manager Information
Manager/Requestor Name
Manager/Requestor Name
*
First
Last
Manager/Request Phone
Manager/Request Phone
*
-
###
-
###
####
Manager/Requestor Email
*
Employee Information
Career Employee Name
Career Employee Name
*
First
Last
Career Department Name
*
Employee Phone
Employee Phone
*
-
###
-
###
####
Employee Email
*
Employee Payroll Title
*
Employee Working Title
*
Career Position Description
*
Skill Set of Available Employee
*
Special Comments for Available Employee
Desired Work Location for Available Employee
*
Desired Work Location for Available Employee
Campus
Health
Campus and Health
Remote Work Location Requested
Remote Work Location Requested
Yes
Desired Work Schedule for Available Employee
*
Desired Work Schedule for Available Employee
Part-time
Full-time
Employee Availability Date
Employee Availability Date
*
/
MM
/
DD
YYYY
Requesting Department Information
Department Name
*
I am a UC San Diego Health System or Health Sciences manager seeking an available employee
*
I am a UC San Diego Health System or Health Sciences manager seeking an available employee
Yes
No
Payroll Title Requested
*
Position Description
*
Required Skills
*
Special Comments for Assistance Request
Work Location Address/Bldg
*
Requested Work Schedule/Shift for Requested Assistance
*
Requested start date
Requested start date
*
/
MM
/
DD
YYYY
Estimated end date
Estimated end date
*
/
MM
/
DD
YYYY