UNIVERSITY
OF THE
REQUEST
FOR TRANSFER
DATE
_________________
NAME
______________________ PRESENT DEPARTMENT ___________________
PRESENT POSITION ___________________ PRESENT POSITION START DATE________
DATE
EMPLOYED BY UNIVERSITY __________ ORIGINAL POSITION _______________
POSITION
DESIRED _______________________ DEPARTMENT _____________________
Give brief explanation for the desired change and your
qualifications. Please attach up-to-date
resume in addition to completing
this section.
QUALIFICATIONS
EDUCATION ________________________________________________________
________________________________________________________
WORK EXPERIENCE ________________________________________________________
________________________________________________________
SPECIAL SKILLS ________________________________________________________
________________________________________________________
REASONS FOR DESIRED CHANGE ___________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
__________________________________
Signature
A copy of this form must be given to your immediate
Supervisor
DISTRIBUTION: ( ) Human Resources –Original ( )
Current Department Head ( ) Employee