HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)Y""ERSONNEL ACTION REQUES4.T
---------- Section 1 — Core Employee Data (Current Data Required) . . ....... ....... .
Empl#- it
5762 Legal Name: Evan Little Effective Date: ol/.16/22
Section 2 — Employee Data (Required for New Hires, Separations, or if Changi
Item Current Data New Data
Name 0 Legal, Little
ED Preferred <Enter>
----------- ---------
Address
19514 St Andrews Dr NW
<Enter> -------
Soap Lake WA, 98851
Telephone
(509) 237-153o ext.
- ex
SS# - Birthdate
000-oo-0000 — oo/oo/00
}ftt.
000-00-0000 — 00/00/00
111
Section 3 Requested Xe—tion
Action(s)
Leave Data
Sepuration Data
Wage Change - Reclassification A Type Reason
Start Date oo/oo/oo A A
A
Stop Date oo/oo/oo Ell'affilefor* Rehire A
Provide Details ofSeparation Below
SectiOn 4 -- Comments
Reband after completion of compensation study
Section 5 — Core Items (Current D
eguired)
Item
Car rent Data
New Data
Dept -Dept
Technology SeA
rx7lces-501000
A
Job #-Job Title-Technology
Services Technic cian
000-00- <Enter Title?
Hire —Position
o8/o6/18 - oo�ao/0 '-2- 01
Grp#-Nailk e N05-Non-Exempt V+
-----------
EmployeeType Full LTi meRegular A
-- -- - ------------ Section 6 — Secondary items (Required only if Chan&g
Item
------- Current Data
New Data
Base Wage
$2-5---1-4 Hourly
$29.6o Hourly
11/1
$00.0000 <SelectType>
Band / Step
8/5
Stipend
$00.000o <Select- Type>
Pay Type/ FLSA
Non-Exempt — Salaried (SALYNE)
A
FTE
1.0 (4o hrs/wk)
A
FFE—GrIS Only
<Enter>
<Enter>
Work-week Standard Sun-Sat A
Section 7 — Authorizing Si&matures
Department: Date-,
Human Resources, Date',
Board Approval 11 Required F-1 Not Required
Chair:
Vice-Chair.- Date,:
Member.-
Revi,s,ed 10/06/2021