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Document cayugacounty_gov_doc_96a886f672

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Cayuga County Department of Human Resources and Civil Service Commission County Office Building, 2nd Floor 160 Genesee Street Auburn, NY 13021 Phone: (315) 253-1284 Email: [EMAIL REDACTED] Website: cayugacounty.us/civilservice Fax: (315) 253-1084 Cayuga County is an Equal Opportunity Employer CANVASS REQUEST FORM Date of Request: Dept. or Agency: Contact Person: This is a request to canvass the eligible list for the following position: Civil Service Title: Location of Position: Salary Range: Number of Positions: Status of Position (check one): Temporary Permanent Contingent-Perm Full-Time or Part-Time (check one): Full-Time Part-Time Check one of the following statements: This is a newly created position. This position is being filled behind: (Name of Current or Previous Employee in Position) (Position Control No.) Additional information or comments: NOTE TO COUNTY DEPARTMENTS: Please attach Resolution / Permission to Hire Approval Form. Please sign below and submit original to the Civil Service Office. Signature of Appointing Authority z:\Civil\Forms\Canvass Request Form CIVIL SERVICE USE ONLY: Date Received Civil Service Approval (Signature) Resolution # (if applicable)