Hiring Request Form

Please complete the form below.

  • **Pay rate should be shown as annual or hourly as applicable to the position title**
  • **If there are not enough spaces available, please email amelia05@phhp.ufl.edu with the candidate's name, UFID, and email address.**
  • **Note: Start date is subject to employee meeting all health related and/o background check requirements outlined by the job description**
  • **Please provide account information for entire fiscal year (June-July); must = 100%**
    Employees having contact with patients or with human blood will require a health assessment and/or additional training. Please review the descriptions for Patient Contact and Contact with Human Blood and select any that are applicable below.