HomeMy WebLinkAboutPersonnel Action Request - Facilities & MaintenancePERSONNEL ACTION REQUEST (PAR)
Section tion 1-R . Data (Current DataRequired)
r) Koryf�eters,,�_, Effective Date.-
Legal Name 23
#q4i
i 4
set ;fiSeparations,
c:.tio - �`��. �€� �, to (Required for e-vior Hies, Se ��.ti ns, r lid` Chang,,t) .
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tern Current Data .mew Dat
Name I Legal
40 Preferred
Kory Petery
<Enter
-------------
ddress
7
<Enter>
Telephone
_ _ _
ext.
SS# - Birthdate -o-o o// 000--0000 00/00/0
S cti011 3 - Requested Action
Action(s) Leave Data Separation Data
F
`` `ye Reason
Start Date oo/oo/oo A
Waae Change - Step Increaseo
t0Elt t leor elt�e A
.provide Details tion . lm
SeWon - Comments
month Pr ratiC. nary period i's complete. Two step increase has been authorized by HR/Board.
Schou.- - Core Items (Current Data Required)
-Iter CurrentData New Data
Dept -.Dept
CS -Facilities, Marone fiance oO 1..
Job -Job Title
159 -33 -Maintenance III 000 -00 -<.Enter Title
Hire Position
02/27/23 - 02/27/23 00/00/00 - 00/00/00
Gr # ` Name
N05 -Non -Exempt A
Employee Type Fell Time Regular
} � � : - S e ud� Its Re uir . nl ` h .n r n
Item
Current Data
New Data
Base W &
e'
$28..2.2 Hourly
$29.91 Hourly
Band / Step
1
10/03
Stipend
o. o <Seleet Type>
$00.0000 <Select Type>
Pay Type/F SA
Non -Exempt — Salaried S LY E
Non -Exempt — Salaried S .L NE
FTE
.0 (4o hrs/wk)
1.0 (40 hrs/-vvk)
FTE—Gr1S, Only
<Enter>
<Enter>
Workweek
Sty ndard Stn -Sat
Standar. Sun -Sat
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Sec i.O nrree �-�cth[,FiE izi*ng .Signi.�lti.s.i e.?.q
f :
e7rLrtm .lo.7 /1 Date. 0,812, 3
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Human Resources. .. i' - Date:
/V
t
BoardApproval Required Not Re ire
ka.
C h air
Viee-Chair: D ate
Member:
S