HomeMy WebLinkAboutPersonnel Action Request - RenewPERSONNEL ACTION REQUEST (PARUfr6iit:
Ath" is neqe, a'j�*��e b'at ...ukod for aH PAR Forms)
Empl#: 5894
Legal Name: Rocha, Jennica Danielle
Effective Date. o6/23/24
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Item Current Data NewlChanging Data
Name 0 Iegal
El Preferred
Rocha, Jennica Danielle
Address
-Telephone
(000) 000-00oo ext.
SS# - Birthdate
000-00-0000 — 00/00/00
SectiOn 3 Requested Action
Action(S) (UtO 2
2 )
Attendance - Leave Data
Separation Data
Wage Change - Reclassification
A
A
Stact Date oo/oo/oo
Stop Date oo/oo/00
Type
A
Reason
A
Eligz'blefor Rehire - Dept
q A
laffile r Rehire - County
fo
P_ on . ...
77� C
�-u• g: ut -di diAe o f p4* R�
Jennica's position with RENEW as Health Information Analyst has been rebanded from an 8 to a lo,
Start date is June 23, 2024.
- kx, Core ltevis,— Current Data
Sec6qn,5 A
Wilt Chi
�m•9t.
-
Item
All Curre72t Data I's Required
Only Cha?7ghig Data Required
Dept# -Dept
A Renew -Behavioral Health-io8000
-is,
A A
Job# -Job Title
151 -:10 -Health Information Analyst
000 -00 -<Enter Title>
Hire — Position
o6/14/21 - 07/01/22
00/00/00 - 00/00/00
Grp# - Name
N05 -Non -Exempt
A
Employee Type
Full Time Regular
A
Base Wage
$28.32 Hourly
$
$29-31 H011r1Y
Band / Step
8/3
Stipend
$oo.0000 <Select Type>
$oo.0000 <Select Type>
Pay Type/FLSA
Non -Exempt — Salaried (SAL E)
Non -Exempt — Salaried (SA.L Q
FTE
1,0 (4o hrs/wk),
1.0 (4o hrs/wk)
17E -Renew Only
Work -week
Standard Sun -Sat
Standard Sun -Sat
n Authorlg
Sectio 7 iziMSignatures
Department: Date: A-0
Human Resource Date..e
4C.
Board. Approva, ti qu ired,
Eli..Not Re -qe
4
Chair: _dl
Vice -Chair: Date:
Member:
1 11 A I It $1 1
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Revised 05/22/24