HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)PERSONNEL 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 Hires, Separations, or if Changing)
Item
Current Data
New Data
Name ° P`efe
❑Preferred
<Enter>
Address
<Enter>
Telephone
(000) 000-0000 ext.
( ) - ext.
SS# - Birthdate
000-oo-0000 — oo/oo/oo
000-00-0000 — 00/00/00
Section g — Requested Action
Action(s)
Leave Data
Separation Data
Wage Change - Step Increase
^
A
Start Date 00/00/00
Stop Date oo/oo/oo
Type
^
Reason
^
Eligible for Rehire ^
Provide Details of Separation Below
Section 4 — Comments
Promotion to Assistant Director; Step 1; 8.36
Section y — 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: i.
Human Resources: ,f Date:
Board Approva Required Not Requir
Chair:
Vice-Chair:Date:
g
Member:
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