HomeMy WebLinkAboutPersonnel Action Request - JuvenilePERSONNEL ACTION REQUEST (PAR)
Section 1 - Core Employee Data (Current Data Required)
Empl#: 5045
Legal Name: Suhail I Palacios
Effective Date: 12/01/20
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° `ega'
❑ Freferred
Address
Telephone
( ) - ext.
( ) - ext.
SS# - Birthdate
538-57-8450 —11/23/8o
—
Section g- Requested Action
Action(s)
Leave Data
Separation Data
vNTage Change - Step Increase
^
^
Start Date
Stop Date
Type
^
Reason
^
Eligible for Rehire ^
Provide Details of Separation Below
Section 4 - Comments
Wage Change - Step Increase: Suhail will meet her yearly anniversary on 12/1/2o and is eligible for a
step increase from 2 to 3.
Section 5 -Care Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
^ Youth Services-oo1117
^ ^
Job# -Job Title
117 -01 -Juvenile Court Administrator
-
Hire — Position
o6/o8/o9 - 12/01/19
-
Grp# -Name
Noe -Department Head
^
Employee Type
Full Time Regular
^
Section 6 - Sewndary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$7,642.27 Monthly
$7,864.13 Monthly
Band / Step
20/2
20/3
Stipend
$ <Select Type>
$ <Select Type>
^
Pay Type/FLSA
Exempt (SALRYE)
FTE
1.0 (4o hrs/wk)
^
FTE—GrIS Only
Workweek
Standard Sun -Sat
^
Section 7 - Authorising Signatures
Department: Date:
Human Resources: j� Date:
Board ApprovalARequired ❑ Not Req d
Chair: ===j iu`
Vice -Chair: Date:
Member: ':�p -
Revised 08/24/201-0
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