HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section 1 — Core Employee Data (Current Data Required)
Empl#: 3839
Legal Name: Anderson-Cook, Decorah
I Effective Date: 10/15/23
Section 2 — Employee Data (Required for New IIires, Separations, or if Changing)
Item
Current Data
New Data
Name °"
Preferred
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
Wage Change - Step Increase
A
n
Start Date oo/00/00
Stop Date 00/00/00
Type
A
Reason
T -
Eligible for Rehire A
Provide Details of Separation Below
Section 4 — Comments
Promotion to Assistant Director; Step 1; 8.36
Section 5 — Core Items (Current Data Required)
Item
Current Data
New Data
Dept*-Dept
Human Resources-oo1124 ^
^ ^
Job#-Job Title
124-o6-HR Consultant 2
124-11-HR Assistant Director
Hire — Position
09/28/20 - 04/16/22
09/28/20 - 10/15/23
Grp#-Name
N04-Exempt
NO3-Manager-Supervisor
Employee Type
Full Time Regular
^
Section 6 — Secondary Items (Required only if Changing)
Item
Current Data
New Data
Base Wage
$7,215.87 Monthly
$7,819.07 Monthly
Band / Step
15/2
18/1
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay- Type/FLSA
Exempt (SALRYE)
^
FTE
1.0 (4o hrs/wk)
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun-Sat
^
Section 7 — Authorizing Signatures
Department: Date:
Human Resources: L Date:
Board Approvar Required ❑ Not Requir
Chair:
Vice-Chair: Date:
Member: