HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
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Legal Name: Anderson -Cook, Decorah J �
Effective Date: 0 2
'Mari. 2 _�-Ernploy�e -Date : ((�a�.rre��: D►a�a cnluina�:_� :l�equ�red fvr ;all, ��.s3 _ ��•
Item Current Data New Chan .in Data
Q �ac�t
Name- N Preferred Decorah J. Andersen -,Cool
Address
_ �.... w�.r- .1....vCZ1.vj •T i 3._.3. 1..�wvj
Telephone
(000) 000-0000 ext,
S # - Birthd.at.e
000-00-0000 -- 00/00/00
er
S a ri e :u es ted -
.Action CS) (up to 2)
Attendance - Leave Data
Separation',"Datal
Other (Pro Vide ' Co' m ents
Mart Date oo/00/00
Stop Date oo/coo/oo
Type
A
Reason
A
Eligible for Rehire - Dept A
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ACC has approved Decorah as Interim. -HR. Director' effect 10-2-202 .
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Item
All Current Data is Re,' 4 recl
Only Cha7ngfng Data 1s Required
Dept# -Dept
Human Resources-o01124 "
A A
Jo -- oh Title
124-11--Hu an Resource Assist Director
. s
2� -C 1- -Iur an Resourceerector
Hire -i4 Position
og/28/20 - 10/15/2
-
Grp # - Name
`'+ -a1 E 'r-''11p r�r' * sor
C - e c`1rt 11 I1t Head
Employee Type
Full Time Regular
A
Base Wage
$7,819.07 Monthly
45-11
$9,649-47 Monthl1-$55.67
Bared / Step
1 / 1
22 1
Stipend
$00.00 <Select Type>$00.00
<Select Type>
Pay Tyke/FLSA
Exempt (SALRYE)
A
FTE
1.0 (4o hrstwl-)
^
Workweek
Standard Sun -Sat
�.
_.
_.... _" _- Se�txc�n �_ A;ut��ng duxes
Department: Date:
Human Resources: Date:
Eligible for Rehire - County "
Board .Approval R.equ` of qu` ed
Chair: s f
t
,
'Nice -Chair: Date. -
Member:
H R Use Only: FICivic P r PAR CMT Acctg Dept
Nave RTS
NT
Revised 05i22f24