STATE OF INDIANA ADMIN POSTING REQUEST QUESTIONNAIRE REQUEST DATE: Click here to enter a date. E-mail to: StateOfIndiana@KnowledgeServices.com Phone: 317-806-6177 (Erin Duvelius) 317-806-6158 (Rachel Bennett) * Indicates Required Fields 1. Position Overview * Click to Enter Position Title Position Title # of Positions Enter # of Positions Available Position Level JR ☐ Mid ☐ SR ☐ Travel Required Yes ☐ No ☐ Posting Expiration Date Agency Budgeted and Approved Bill Rate Click to enter date. $000.00 Minimum Education HS ☐ Assoc. ☐ BA ☐ MSTR ☐ PHD ☐ Expenses Reimbursed? Yes ☐ No ☐ 2. Posting Information * Position Type Temp ☐ Temp to Hire ☐ Billing Type Hourly ☐ Daily ☐ Milestone ☐ Shift Day ☐ Evening ☐ Night ☐ Other ☐ Weekend* Yes ☐ No ☐ Expected Weekly Hrs. 37.5 ☐ 40 ☐ Other ## ☐ Eligible to Work OT Yes ☐ No ☐ Click to enter date. Position Start Date Shift Start Time ##:## AM ☐ PM ☐ Click to enter date. Position End Date Shift End Time ##:## AM ☐ PM ☐ Position likely to extend beyond the Estimated End Date ☐ Definite Short Term Position ☐ Shift Comments Click to add any additional shift clarification. 3. Requesting Manager * Report To Manager, if different information (Time Approver) Requesting Mgr. Name (First & Last) Report to Mgr. (First & Last) (###) ### - #### (###) ### - #### Requesting Mgr. Email Report to Mgr. Email Include hiring manager contact information in job posting? Yes ☐ No ☐ 4. Additional people who need access to Bid / Resumes , if applicable Additional Resume Viewer 1 Additional Resume Viewer 2 (###) ### - #### (###) ### - #### Additional Resume Viewer 1 Email Additional Resume Viewer 2 Email 5. Secondary or Backup Time approvers, if applicable Backup Time Approver 1 Backup Time Approver 2 (###) ### - #### (###) ### - #### Backup Time Approver 1 Email Backup Time Approver 2 Email 6. Position or work location * Agency Name Address City State Abbr. 7. Zip Code Position Details and Requirements * Travel Required Yes ☐ No ☐ Works in a School and/or with Children Yes ☐ No ☐ Provided Parking Yes ☐ No ☐ Does funding include federal funding? Yes ☐ No ☐ Access to Confidential/Personal Information Yes ☐ No ☐ Works with Children Yes ☐ No ☐ IDOC Only: Direct Contact with Offenders Yes ☐ No ☐ Describe this position’s most important duties performed in the normal course of work. Please describe each, in order of importance, and indicate the average percent of time devoted to each duty over the course of the year or contract period. Description of Duties (primary & secondary) % of Total Work Effort Required Skills (one skill per box) ##% Ex. Development Ex. Word Ex. Typing Ex. ##% Ex. Filing Ex. Excel Phones Ex. ##% Ex. Data Entry Ex. PowerPoint Customer Service Ex. ##% Ex. Project Management Ex. Communication Problem Solving Click here to add any additional Description of Duties / Job Description. Page 2 of 2