HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)PE . N EL .A. TI.ON REQUEST PAS...
Section 1 - Core.Employee Data (Current Data is ire Re- - r
,qu d fb"'all PAR Forms)
Empl#: 6303 Legal Name: Humbeito Melidez
Effective
6
-5ecticin2,— Ex "plo`e' Date (Current Da d
Mafia c unm is Required fog all PAR�)
Ye t 0
`tern Ourrent Data
I Leoral NewlChan'gffig Data -
Name Humberto Mendez
0 Preferred
Address
Telephone (0000 000,000.0. ext.
SS,# - Birthdatei .-00
000 00-.0000 /0 0/00
Section d Ali��on
3: JR.,Oqueste
Acti0n(S) (!�g tO'2) Attendance - Leave Data Separation' Dctta.
A T
- (Prom
-NT'I'de Coments)
Othe rYP&
Reason
A Start Date oo/oo/oo
A
A---- --
Stop Date oo/oo/oo Eligible for Rehire - Dept A,
Sectioft 4 - Comments, (for �'qratidns t the last: day/date of OAv
STIPEND for bilingual
Sectio'n 5 -- Core Itenm - Current'Data
Item
AI[Currmt Data IS Rect-ull"ea
Dept.# -Dept
s
CS-Facilitici Maintenance-oo!112 A
Job # - J ob Title
Hire — Position
112-2p.
4-<Landsca e r
12/16/24- 12/16/ 2 A
Grp# - Name
Aoi-co-L
lfthou'8e
Emplo
,yee �iype
Fiill Time Regular
Base Wage
$21.p'i45� .'Ho y T$
Band / Step
7/1
Stipend
.$ . 75.Oo BiLlingual
Pay' Type/FLSA
Non-Exempt *— Salaried (SALYI`wNE)
FTE
1.0 (40 hrs/wrk)
Work -week
Standard Sun -Sat
as'
Department: *
Human Resources:
.eligible for Rehire - County A
Board Approval Require d- (Not Required
Chair:
Vice -Chair:
Member:
Civic [Y]GPjVkfjPAR 1111CMT
HR Use only:
Se'ctidn'6 Cok46, qaD61a
figing
an
only "C4., hag * J)atais.Requimd, -M.
A A
00 0-00-< Enter Title>
00/00/00 - 00-:/00/00
A
A
$oo.00 < Select Cycle >* $
$oa.00 <Select Type>
A
W
Date:
Date.- Of f-ao
Date:
avi TS gVT
9 Dept PN
Revised 05/22/24