HomeMy WebLinkAboutPersonnel Action Request - Development Services (002)PERSONNEL. ACTION REQUEST (PAR)
_ Section i - Core Employee Data (QwrentData Required)
F pl- -. T�Legal Name: Nathan Poplawski I Effective Date: 11/23/2.0
T Secxon 2 - Employee Data (Required for Net Hires, Separations, or if Changing)
�--- .Itcnr
_ Legal
erre
_ Current Data
Nathan PCpla~kl
New Data
`—
<Enter>
Address
352 4th Ave SE Ephrata WA 98823
<Enter>
Telephone
(509) 237-2776 ext.^
{ ) - ext.
SS# - Birthdate
531-11-5076 - 09/12/75
000-00-0000 - 00/00/00
Section 3 - Requested Action
-'
Action(s)
Leave Data
Separation Data
-- .
Start Date oo/oo/oo
Stop Date oo/oo/oo
Type
^
Reason
^
E gible.forRehire ^
Provide Details of Separation Below
- — Section g: -'Comments
Pursuant to condition of hiring, Nathan's vacation accruel rate vNill be reinstated from when he
departed Grant County in Jime 2017. See offer/ acceptance letter.
Section -tore Ttetns (Curtent Data Required)
Item
_�. _
Current Data
New Data
Dept# -Dept
Job# -Job Title
Hire - Position
Dev Services -Bldg Fire -138116
116 -12 -Fire Marshal
11/23/20 - 11/23/20
^ _
000 -00-< Enter Title> T
1 00/00/00 - 00/00/00
Grp# -Name
NO3-Manager-Supervisor
Employee Type
Full Time Regular
—
Section 6- Secondary Items (Tac uiredonlyifC.hnmjng)
Item
Current Data
New Data
Base Wage
$6,o89.20 Monthly
_
$oo.00 <Select C` ,cle> —
Barad / Step
16 / 1
—^
_
Stipend
.$275.0000 Clothing
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
^
FTE
1.0 (4o hrs/wk)
{ n
FTE-GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
A
Section 7 - AuthoririnSi}lnatuces
Departnleilt: Date: i t 1 `tea
_
Human. Resources: - `- ' Date: '77
Board Approral VI Rlred 0 Not equine
Chair: f
Vice -Chair: �® Date:
Member: ��� �RECEIVED �
I
DEC - 2 2021
Iiev�ised € 8/24 2020
(,RANT CI'�i.INTY CCMMI SSIONrI