HomeMy WebLinkAboutPersonnel Action Request - FairgroundsPERSONNEL ACTION REQUEST (PAR)
Section i - Core Employee Data (Current DataRequired)
Empl#: 38o8
Legal Name: White,Ken
I Effective Date:
Section z - Employee Data (Requimd for New 'Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° `` '
❑ Prefemd
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext,
SS# - Birthdate
000-00-0000 — 00/00/00
000-00-0000 — 00/00/00
Section 3 - Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
^
^
Start Date oo/oo/oo
Stop Date 00/00/00
Type
^
Reason
^
_
Eligible for Rehire ^
Provide Details o Se aration Below
Section 4 - Comments
Seetion 5 - Core Items Current Data
Item
Current Data
New Data
Dept# -Dept
Fairgrounds -116000 ^
^ ^
Job# -Job Title
159 -15 -Groundskeeper
000-oo-<Enter Title>
Hire — Position
07/01/14 - $/
00/00/00 - 00/00/00
Grp# -Name
Nos -Non -Exempt
^
Employee Type
Full Time Regular
A
Section 6 - Secondary Items (Requh-ed nly if Changing)
Item
Current Data
29 New Data
Base Wage
$.o 01a SeleetAByde> r
$D4:oo <Select Cycle>(2UJ_
Band / Step
05/04
05/05
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
^
FTE
A
^
FTE—GrIS Only
<Enter>
<Enter>
Workweek
A
^
Section7-:Autho . atu
Department: xatr Date:
Human Resources: Date: s
Board Approval Required [] Not R wired
Chair: �1 2_
Vice -Chair: Date: �, G
Member:
Revised 09/23/19