HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Se oni .11�ieE Oyee a ( Nit it Data is _r rM
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Legal Name-, Burgess, Kevin Ray
Effective Date- 01/01/25
.;Se 2Enlployee.Difta.(Qdike 'Data��61is'R,6cured ",' rM VRs)
Item
Current Data
-f
MwlChanging Data
F1 Legal
e
Nam9Preferred
Kevin Burgess
(000) 000-0000 ext.
Address
17
Telephone
SS# - Birthdate
000-00-0000 — 00/00/00
e on eq� u-'e" st' I A i o' ni
-3 ela
Action LS (up to 2)
Attendance - .Leave .Data
aration Data
New Hire
A
A
Start Date oo/oo/oo
StopDate oo/o-/oo
0
Type
A
Reason
A
:9. . A
Eligiblefor for. - Dept
Eligiblefor rehire - County A
Section 4 — Co m*ments (for Se'p'arafiofis, list thelasit day'/date 'f P
New- Commissioner
Section 5 — Core Items _ Cnrren't Data
Secti6fi 6 — Core Items — Chan*"* Data
lntmg
Item
All Curi-,ent Data is Requii-ed
Only Ch "nging Data is Required
Dept -Dept
Commissioners' Office-0 01101 A
A A
Job# -Job Title
101-01-County Commissioner Dis-
t I
000-00-<Enter Title>
Hire Position
01/01/25 - 01/01/25
00/00/0 *0 - 00/00/00
Grp# - Name
N01-:91ected Official
A
Employee Type
Full Time Regular
A
Base Wage
$9,6ol.44 Monthly
. 5•3
E Hourly
Band / Step
1/1
Stipend
$00...00 <Select Type>
$00.00 <Select Te>
Pay Type/FLEA
Exempt (SALRYE)
A
FTE
1.0 (40 "hrs'/Vw )
A
FT-E—Renew Only
Workweek
Standard Sun -Sat
A
Section 7
Department: Date-,
Human Resources: Date,
Board Approval '�Kj I El N Required ii
Chairo.
Vice -Chair: Date:
Member:
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rlr% USQ Omy: " Civic I jot- "PAR L_j (, vj 1 "Acctg L__] Crept "Navi L TS U Ni
Revised 05/22/24