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Personnel Action Request - Juvenile
Revised 09/23/19 PERSONNEL ACTION REQUEST(PAR) ... ...... :.: . . .._ : ....... _ __ _ .... _- , _ ., - ... ..... .:. -,4._ 1........ - � .......... :�'-"*"*,--..'.'...'.�----*-"--..�-.� * -...:. .:. .. ..... ..... . .. .... .... . _.. . :: . ..... . -1 ...... � --- � ....... � .... . . ........ ........ .. - ...- :�-'-.-'�.'.�-�-...'.-�.-..-.'...'.".'.'.'.,-�-- _ .... --:. � . ......... _....._ ... � ... �..... .... I ... _.-z.-.�-.....-�....--....,.-...-..-.--..------.� .......... ...... . . _...,_.- %. ect an (;prem urrentata:]Le u r :.:..:.:..'....... .... . ...... _ -.,_._ ...., ............:�.:. ... .. a ee7 ... .►ata ..:. - - -- - -:--..---------- - _..___.. _ ...__. __.. __ _......:. : _ :.._ _ ...._ _ .: _ d ..:::..-._. _.... _.., _ . ...., :..:::.:.::: :... ,. ...:.. :,:.. . " - - - .. _. ........_ .. ... .:.. _._ "' '' Empl#: 5045 Legal Name: Palacios, Suahil I�'ji't.� +� i- Effective Date: 12/01/19 :.: _ :..:....:.. . . ..:::...........:..:. .... _. _ _ _ .. . :.. ; .:: :. __ . :. _ ___ _ .. ::,.. .:.:. ..... - m o e. aha. I u'" _ _. e ed r IST. :. .. _ _ e�res _fie araions _ or. f .Clan __... _..... ..... ...._ :... :,: ... _........::. _., . ..... _ . _.._ I. 1. ...::.......: . ._ .. Item Current Data New Data Name ❑ Legal 11 Preferred <Enter> Address <Enter> Telephone (000) 000-0000 ext. ( ) - ext. SS# - Birthdate 000-oo-0000 — oo/oo/o0 000-00-0000 — 00/00/00 . .::.....: ..0. :. .... _ ._. :: . ::-:.. _ ...:: ::..:.:.:Sctn> :.:. ...... steel. A n Re :ue' :.. . . ..:..:.:...::.......: Q __ _. c c ..... :>....:.:.. ...................::::.: :.. :.:..:::....... :::..:.::::..._ _... ....... ... _....... ....... ...... Action(s) Leave Data Separation Data Position Change - Promotion ^ Type Reason Start Date oo/oo/Oo A Stop Date OO/00/00 Eligible for Rehire . Provide Details of Separation Below - % :_ ... :.......: . ..... _...:..., .::: .. octan: Com . _ .._.. xments _,. .; :: ::.::.:':.:::;::. _...:....... ..... .._ ....::.. :..:..:.::..:.. ..,:._. _:.:....... i. :. chi Co :.>:;::.::::.::.::.:::.:::.:".:.:..',:.::'.::..: __ Ct.1 R : .:....:.:..:::::::::::::::::::::::::::.:::::;::: :.::_:_;: :.:::::::: Se o - re:It e s r a e :::.:::::::::::::::::::::::::.:::::::::: :::::= ur t z :..:.....-::..:::::::::::::::.: ' .::':::'. ...- _ .....::.......:...:....::..:...:_ ....... e _ d _.. _..:.:......_ 5:.:..::.:: ._. _ ......_ ..:. _.._.. _ ._ ._ . x. :.....::::.:.::..,:.._::.: : q. :.;.:..:.:........::.::......:..%-:-:::.::.;..... Item Current Data I New Data Dept# -Dept ^ Youth Services -001117 ^ Youth Services -001117 Job#-Joh Title 117 -13 -Intensive Sprvision Counselor 117 -01 -Juvenile Court Administrator Hire — Position o6/08/09 - 03/26/18 06/08/09 - 12/01/19 Grp# -Name A03 -Youth Services NO2-Department Head Employee Type Full Time Regular Full Time Regular :: ::. ::.. _:: ::.. _ .. :.. ._..... _.... _ .... _ . _.. ,....... . :.: ; ... :..:.::::::::..:.:... .:.:.::•..::.:_.: - ...: '-....i'.iii.. . :.:::.: ...:. :.:....:. : ... .:...... ..::...- ...................... .. .......... ... .... ....:. _:. ........ .. .. ..... .. ....... .. .. i. ............... ..... ................ -..-...... -. .....:.... ... .......: e r 6 n ., ctio ec d I _ins. e u ed o 1.. ' ::::::: S a t _.....e. nL .. ............::... ' ': ::::::::��' .':' ........: 1. v. Item INew Data Base Wage $29.41 Hourly $7254.00 Monthly Band / Step 12/o6 20/01 Stipend $00.0000 <SelectType> $00.0000 <SelectType-> Pay Type/FLSA Non -Exempt — Salaried (SALYNE) Exempt (SALRYE) FTE 1.0 (4o hrs/wk) 1.0 (4o hrs/wk) FTE—GrIS Only <Enter> <Enter> Workweek Standard Sun -Sat Standard Sun -Sat : __ . _ ..... ::... __. . - .:::: :: : ; _ _ _ .:..... _. .. _. r _ _ .___ _:: _.: :::::::. Au :..:::.:::::::.::::::. ' ::::::: ::. .:....;...:::'....... t riz� :.:::::.::::::: _n ::::: _ o_ Sx ages . :::. s _ _eco :::..:.:.:::;:::::::.::'.:...:..:: .:: ... :..... -... . _ . _ :.: Department: Date: Human Resources: _1(Date: I ,j I [ 9 . Board Approval � t it � d ,) '� , Chair .-44N%W�� Vice -Chair: Date: m 10, (� 11", Member: ( ;? /:L.-_,�__ .----.- - .1 Revised 09/23/19