HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)--------- PERSONNEL ACTION REQUEST (PAR)
Seefion i _ Cure Employee Data Current Data s Required for all PAR Forms)
Emp : 5785 Legal Name: Orowo, Ka lyn J Effective Date: 05/ /2
eeflon 2 - Employee Data (Current Data column is Re u ired for all PAS)
ItemsCurrent
Name ' Pr"t rr i
Data
ayl rn t� rozc
NewlChangin Data
Address
Telephone
(000) 0oo-00o0 e t,
s - Birthdate
000-00-0000 — 00/00/00
Section 3 — Requested Action
Action(s) (up to 2)
Attendance -- heave .;data
Separation Data
Wage Change - Reclassification
A
Start Date oo/oo oo
Stop Date 00/00/00
Type
A
Reason
h
Eligible for Rehire e - Dept
lrcgr l far* Rehire ire - County A
" ur► — mment f�+r Se aratiun�, ��� t e last �Lici date of pay),
Section 5 _ Core Items - Current Data
Section 6 - Core Items --Changing Data,
Item
All Current Data is Required ed
rr Changing Data is Required
Dept# -Dept
Auditor's ffi0-Electi s - t
A A
Job# -Job Tithe
lo8-12-Ceitified Elections Administra
000-00- <Enter Title>
Hire — Position
02/0 /00 - 11/ ' /
00/00 00 - 00 00 00
Gr # - Maine
Ao .-Courthouse
A
Employee Type
Frill Time Regular
A
Base Wage
$25.98 Hourly
Is
$27-32 Hourly
Band / Step
o / 0.
07 0
Stipend
$00.0000 < elect Type>
$oo.0000 <Seleet Tvpe>
Pay Type/F.
Non -Exempt -- Salaried. (SALYNE)
A
FTE
two (4o hrs/wk)
A
F`E—Renee* Only
orIaveek
L standard stun -sat
Seq&7 - Auth9rizing Signaturess
Department. U/"�///`/`/``_1w_/ L/ mate. 4 e)u
4)lPz1fd'b&
Human Resources: Date.
Board Approval Reqg Wr, El Not Reqtilred
y! r,
Chair-,
Vice -Chair: Date -27
Member:
HR Use Only:
Civic CAP
PAR
CMT
Acctg
Dept
Navi
TS
NT
Revised 09128/2023