HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section 1 - Core Employee Data (Current Data Required)
Empl#: 29o8
Legal Name: Simmons, Christy
I Effective Date: 11/01/20
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name 11 Legal
❑ Preferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
537-02-2761-12/o8/70
000-00-0000 — 00/00/00
Section g - Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
^
^
Start Date oo/00/00
Stop Date 00/00/00
Type
^
Reason
^
Eligible for Rehire ^
Provide Details of Separation Below
Section 4 - Comments
Section 5 - Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Human Resources-oo1124 ^
^ ^
Job# -Job Title
124 -05 -HR Consultant i
000-00-< Enter Title>
Hire — Position
04/24/14 - 05/01/20
00/00/00 - 00/00/00
Grp# -Name
N04 -Exempt
^
Employee Type
Part Time Regular
^
Section 6 - Secondary Items (Required only if Changing)
Item
CurrenS Data
New Data
Base Wage
$4,884.53 Monthly 70`x. q dU r.,
$5,031.87 Monthly
Band / Step
13/1
13/2
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)�'{
iN{ S� G
FTE
^ = i U8' h oU6 Per w(eV)
,J
^ Du"
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
Standard Sun -Sat
Section 7 - Authorizing Signatures
Department: Date:
Human Resources: Date: 11/10/20
Board Approval �] Required ❑ Not Re fired
Chair: S
Vice -Chair: Date:
Member: -.
NOV 10 2020
Rc vised 08/24/2020
J
!
GRANT COUNTY COMMISSIONERS