City Workforce Request -- Requesting Agency

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* 1. Your Email

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* 2. Agency/Unit

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* 3. Service

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* 4. Agency Point of Contact Email for Follow-Up

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* 5. Number of Employees Needed

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* 6. Current Classification of Positions to Be Filled, If Known

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* 7. Operational Period -- Dates

Date From

Date

Date To

Date

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* 8. Operational Period -- Times

Time From

Time

AM/PM

Time To

Time

AM/PM

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* 9. Location

On site or remote?

On site location

Remote location

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* 10. IT Equipment -- Workstation Already Provided?

True

False

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* 11. IT Equipment -- Mobile Workstation or Other IT Setup Required?

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* 12. Description of Assignment/Role and Responsibility Needed to Be Filled

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* 13. Required Training (should be provided by requesting agency and service)

Thank you for taking this survey! Please contact bsloat@cityofmadison.com with any questions about the survey.