HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION..REQUEST (PAR)
Section i — Core ETOoyee Data (Current Datal's -Required for all PAR Forms)
Empl#.- 6oO4 Legal Name -, Young, Christopher James Effective Date: 12/16/24
SeCd.On 2 — EmplOWle Data (Current Data column is
Required for all PARO
Item
Current Data
NewlChanging Data
Name Z Preferred
Chris Young
Address
(000) 000-0000 ext,
000-00-0000 — 00/00/00
Tele hone
SS# -'Birthdate
SeetiOn 3 — Requestcd Action
Action(s) (yP to2)
Attendance - Leave Data
!eparation Data
Other (Provide Comments) Administrative Leave
Start Date 12/16/24
A Stop _Date oo/00/00.,
Seeft"011 4 — Comments (for S�,paratioAs? Hist the last da
Type Reason
A A 11 ----------
Eliaible for Rehire - Dept. A
P�#)
_yZdateof
Chris has been placed on paid Administrative Leave. I Will fill out the stop date when he returns,
.item
Section 5 — Co"re Items — Current Data
All Current Data. i's Required
Secdon 6 Core Items — Ch ang-ing Data
Only Changing Data i's acquired
Dept# -Dept
Dev SerVices-Bldg Fire-138116 A
A A
Job# -job Title
111- 14-Director-Development Semcee
000-00-<Enter Title>
Hire — Position
05/16/22 - 05/16/22
00/00/00 - 00/00/00
-------------------
Grp# - Name
Not -Department Head
A
Employee Type
Full Time Regular
A
Base Wage
$10, ..73 Monthly
$63-01
Soo,00 <Select Cycle>
$
Band / Step
22 /4
Stipend
$00.0o <Select T' Te>
$0000 <Select' ype>
Pay Type/FLSA
Exempt (SALRYE)
A
FTE
A
A
Workweek
Standard Sun -Sat
A
Section 7 —At horizing Signatures
Department: Date-,,
Human Resources: Date :
Eligiblefor Rehire - County A
Board Approval Re, :Id [:]Not ired eq i,
Chair,.,
A EA
Vi J ce-Chair: 7, Date.
Member:
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Revised 05/2-2/24