Cleveland Clinic

Request for Approval to Hire

Applicant Information
Requisition Number: Date:

Applicant Name:
Last First

Job Title: Paediatrician

Part Time Full Time Permanent Temporary

Replacement New Position Hourly Exempt

Proposed Starting Salary: Start Date:

Supervisor: Department:

Description of Duties:
Providing care from birth to early adulthood, concerned with the health of infants, children, and teenagers.
Specialize in the diagnosis and treatment of a variety of ailments specific to young people and track their
patients growth to adulthood. Treating day-to-day illnesses that are common to childrenminor injuries,
infectious diseases, and immunizationsmuch as a general practitioner treats adults. Specialize in serious
medical conditions and pediatric surgery, treating autoimmune disorders or serious chronic ailments.

Additional Comments:

Supervisor Signature Date

Approval to Hire
Approved Salary: Approved Classification:

Department Manager Signature Date

 Confirmation of Offer
Offer Extended By:

Status of Offer: Accepted Declined

If accepted, confirmation sent to Human Resources for processing: