HomeMy WebLinkAboutPersonnel Action Request - Human Resources (004)P-AERSONNEL ACTION REQUEST (PAR)
S ir
e'etion, -I -Core El"I'lployee Data (Current:.Data Re d)
E
mpl#.-
Le I Name.. Marina Whitmore Effective Date: 11 21 2343, ga
section 2-FIMPloyee Data( quiired for NCN-v Hotres, St ePtIration, .,'orI-fCh"LUj,`
Item. Current.Data Arm Data
Name
0 Preferred
Address <Enter>
Telephone, (00.0) 000-0000 eXt. ext.
SS# - Birthdate 000-00-0,000 — 00/00/00 000-00-0000 — 00/00/00
L
SeCdOR 3 - Requested Action
Action(s) Lea!)e Data Separation at
Wage Cge - Reclassificatioll A Type Re . ason
A A
,Start Date. oo/oo/oo.� ...w., ..�..�
----- . ..... ._.y
A Stop Date 00/00/00 E ligible for Re hi v Ile A
Pro-videDetails of Sewara-tibn Beloto
comment
Revised 10/15512021,
Seetion 5 - Core Items (Current Data Required)
Item
Dept# -Dept
Job#,, -,Job Title
Hire — Position
( rrten t Da ta
Dev Seii-riclels-ffldg F*irle-1,38i.-t6 A
116-22-Pe'rinx-It Tech 3
J-1/01/94- 11/01/94
N& Data
A A
---------- - - ----- --------
Gr#-
.P Name
Aoi-Courthouse,
A
Employee e
Typ"
-till Time Re ular
9
Section 6 - Sevondary Itents (Required.
ouly if ChIn rfti-Q
Item
011417"Wit Data
..........
Ne.w Pa to
Base Wage
,ly
1+4
Band / Step
o8/07
09 /01 7
Stipend
$oo.0000 <Selec:tT�Te>
$oo.0000 <Select I�pe>
Pay Type/FLSS.
Non Exenipt — Salaried, (SALLAE)
- ---------------
Non-Exeml)t --Salared (SALYN.
FTE
1-0 (4o hrs/wk)
.........
1.0 (4o brs/wk)
FTE—GrIS Only
< Ente-I
<Enter> ----- --------
Worlaveek
Standard Sun -Stat
Standard Sun -Sat
--- - - -- - - - - - - - -
ScctlOn 7 - Authorlzmg gliguatures.
Depaitment: Datet
1...-..r.:...:.....r,v..''rn,rrs- .. n•� --war .-. - :.. ... ,�+....�^_. wrrvrae,+e.r n r .ro:.....,. •.5c) F'
Human Resources: Date:
Board Approval� �-�d'IN6t Intl
u
Chair*
Vice -Chair. Date,E.
Membom
Revised 10/15512021,