MANPOWER REQUEST FORM Requesting Company: Date Requested: Date Required: Requesting Department: Position / Title: Level: Head Count Needed: Nature of Request: [ ] New / Additional (need approval of the President/CEO) [ ] Replacement Employment Type: [ ] Student Trainee /Intern [ ] Project-based [ ] Regular (Probationary) [ ] Freelancer / Independent Contractor Area of Assignment: Salary Range: [ ] Hybrid (Indicate office: ________) [ ] Work from Home [ ] Field Cost Center: Employee to replace: Date of separation or movement of employee to replace: Work Schedule: (i.e. Monday to Friday, 9am to 6pm) Requested by: APPROVALS Approved by: Signature Over Printed Name Requesting Department Approved by: Signature Over Printed Name Finance For New / Additional Headcount: Signature Over Printed Name Department Head Signature Over Printed Name CEO / President Approved and received by: Signature Over Printed Name: HR