HomeMy WebLinkAboutPersonnel Action Request - Human Resources (003)PERSONNEL ACTION REQUEST (PAR)
Section 1 — Core Employee Data (Current Data is ReqUired for all PAR Fornis)
Empl#.- 6oO4 Legal Name.- Young, Christopher James Effective Date: 12/16/24
Seeflon 2 —Employee Data (Current Data colunm is
Requi "redfor'alIPARs)
Item
Current Data
NetulChang-ing Data
e 11•
Nam0Preferred
--- ------ ----
Chris Young
Address
A
Telephone
(000) 000-0000 ext.
SS# - Birthdate
000-00-0000 — 00/00/00
Sermon '3--RequestedAc6on
Action(s) (y 2 to 2)
Attendance - Leave Data
Separation Data
Other (Pro -Ode Comments) Administrative Leave
Start Date 12/16/24
A .... ........ Sty Date ooZoo/oo
Secti011 4 — Comm (fo'r S�parafions, ust the last dMjdate
Type
A
Reason
A
I Eligiblefor. ehire -Dept. A
of Pa
Chris has been placed on paid Administrative Leave. I Will fill out the stop date when he returnst
Section 5 C 're Items — Curr ent Data Section 6 — Core Items- Changing Data'
Item All Current Data is Required Only Chang'Ing Data is Required
Dept# -Dept
Dev Services -Bldg Fire-138116 A
A A
Job# Job Title
111-14-Director-Develop ent Semees
000-00-<Enter Title>
Hire — Position
05/16/22 - 05/16/22
00/00/00 - 00/00/00
Grp# - Name
Noe -Department Head.
A
Employee Type
Full Time Regular
A
Base Wage
$10,921.73 Montbly
$63-01
$oo-oo <Select Cycle>
$
Band / Step
22/4
Stipend
$oo.00 <Select TTe>
$00.0o <Select Type>
Pay Type/FLSA
Exempt (SALRYE)
A
FrE
A,
A
Workweek
Standard Sun -Sat
A
Section 7 — Authorizing Signatures
Department: Date-,
Human Resources: Date-,
Eligiblefor Rehire- COURty A
Board Approval Re El Not etii"red
Chair*.
Vice -Chair: Date,
Member:
HRUse only: u Civic u GP u PaR u CMT U Acctg u Dept u Navi L_J TS u NT
Devised 051.2,2_124