HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA............ .___ -------
PERS-ONN.E.L. ACTION...'REQUEST (PAR)
Section, i— Core E plb� lDt irkt RO
(Cu'O'.. Da quite
-------------
EM lean
'PI#"- 44.46 Legai..Naine: Patrieda G
tff ectiveDate.- og/ol 119.
Seaion,02 — EmployeeData.fRequired f6r 4 S
New Wres -eparations, or if Changh-ig).
Item
Curpen t Dat -a
.,,ATe w. Paw
Nam -e. C1 Preferred
<Enter>
E
Telephone.
(006) 000-0.00.0 ..ext.-,
:ext,
..S -S# Birthdate
aoo-oo-0000 — oo/o 0
000-00-000*0: — 0000
Setti6n'3 Requested Acti oin
.Action(s) Leave Data
,�
Separation Data
P . osition- Ch P 'O.M. A.
ange r. otion
Start Date. 00/00/60
.A.
.Stop Date oo/oo/oo
T�P e
Reason
gib or Rehire: A
Provide Details Ofseparation Below
Section:4 — Comments
Trishaha'�,bee*ns' lee-te.dtob.ethe*Fbrec Inten, * e , er for M&
e. -i w Hope... T his is a promotion from her
etirrent.,nosition at New Hope.. I'mreciuesting to place. Trisha at,aSteD 4 (none-standardpractice) J
. r p urposes of maki g -the-- 8'alary an increase.
dss*e* d this- win th M att fr o m HR.: & n r`*from iF �here
sho was in- heT Dreviaus pos.ition.
S ..
ecdo-A'5 — •Core Itews (Current Dtita Required)
Item
U
C rre i a. NewDatd,
i t D" ta
Dept# -Dept..
- --- ------- ----- ------
New Hope -.1.28000' NewRope-l'28-00-o.
Job# :job Tit le
I 170-0.1-Legf-alzind Community Advocate .170-221 Forensic 11.1f erviewer
H I"re OsItion
----------------------------— P
10 2 4/05- 10/24/05, 10124/05;- 09/01/19
Grp#-Name
No5. -Non-Exempt N05 N'On'E_xempt
I Employee Type
Rill Tr ime. RegulaFill Tim -egulr
a.R.
Section 6 — Secondaryltems (Required. only if Can ging)
........... ................
Ite.m
..
Current Data.
New.Data
Bzlse. Wage .
$24,28 Hourly.
----------------------------
$25.76
B Afid Step
7. 7
4
Stipend
o o..o o oo < Select C.'' j['. >
$Oal�000-0 <'s eled Typ
Pa iype/FLSA
y
Non-Exemp.t.! Salar*ed
I SALYNE)
xemp Ia ie
.-Non,"E' t S.A. r d (SAL...'. N• E)
•1.r (4o hrOi.)
Lo (4o. ,4 /F Tk
----------
I ffly
FTE Gr 8 0
<.EMite r>
m<.Entet>,
Workweek
Sta_nd,.rd Sti* .- *at
Sta. nlda'rd. Su. Sat
Seen S"
S ebbn 7'--Auffior'W'injx Ignatu'res
D e -pa -A .t «:
Human Resources:,-,...
Board Approval.. Rf
chair:
Vice.-Chdir.m.
Member.:
Date
Date;'..
Date.�
Rewised 07/10/19