HomeMy WebLinkAboutPersonnel Action Request - BOCC (005)PERSONNEL ACTION REQUEST (PAR)
Section 1- Core Employee Data (Current Data Required)
Empl#: 6o6o
Legal Name: Sperline, Michael
I Effective Date: 10/29/23
Section 2 - Employee Data (Required for New Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ❑ p eferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
000-oo-0000 - oo/oo/oo
000-00-0000 - 00/00/00
Section 3 - Requested Action
Action(s)
Leave Data
Separation Data
Other (Provide Comments)
A
Start Date oo/oo/oo
Stop Date 00/00/00
Type
A
Reason
Eligible for Rehire
Provide Details of Separation Below
Section 4 - Comments
Position changing from FLSA Exempt to Non -Exempt
Section g - Core Items (Current Data Required)
Item
Current Data
New Data
Dept# -Dept
Commissioners' Office-oollo1
Commissioners' Office-ool10, ^
Job# -Job Title
101 -12 -Public Records Officer
101 -12 -Public Records Officer
Hire — Position
03/26 /23
03/26/12 - 10/29/23
Grp# -Name
N04 -Exempt
Nos -Non -Exempt
Employee Type
Full Time Regular
Full Time Regular
Section 6 - Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$5,602.13 Monthly
$32.32 Hourly
Band / Step
11/4
11/4
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
Non -Exempt — Salaried (SALYNE)
FTE
1.0 (4o hrs/wk)
1.0 (4o hrs/wk)
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
Standard Sun -Sat
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: L L CL' -- Date: I v
Board Approval rV"�4 Required Not Re7ired
Chair:
Vice -Chair: Date: toW-1-3
Member: