HomeMy WebLinkAboutPersonnel Action Request - Human Resources------- --------
PERSONNEL ACTION REQUEST (PAR)
Ejnpl6ye- -Data (Cur' 4 14*0
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ed 06, rent-Dat Ri aR P" MIS
Empl#- Legal Name-, Hamberg, Jordan Ashlev Effective Date: 05/2-/
5749 5 25
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Item
Current Data
NewlChanging Data
09 Legal
Name 0 Preferred
Jordan Asbley Hamberg
Address
Telephone
(000) 000-0000 ext,
SS# - Birthdate 000-00-0000 — 00/00/00
SectiOn 3 Requeste Acdon
Action(s) (u Attendance - Leave Data Separatio.. Data
to 2)
A Type
Wage Change - Reclassification Reason
Stait Date oo/oo/oo A A
Stop Date oo/oo/oo Elig I b lefo of Rehire - Dept
section 4 Comments Oor eparat, ffi elast day/date of p4y)
Secti0l, 5 CA)re Items — Current Data Section Cnw
*6 6 Core ltern,,4 ha-ngDaW
Item All Current Data is Required Only Changing Data i's Required
.......... ......
Dept #-Dept
..
Public Defense-oo1133 A
A, A
Job# -Job Title
33- -P t lic Defender 2.
000-00-<Enter Title>
Hire — Position
07/1-6/20 - 08/01/22
00/00/00 - 00/00/00
Grp# - Name
N06-Public. Defender
A
Employee Type
Full Time Regular
--------------------------------
A
Base Waae
$9,190. 3 Monthly
$9,3 l25 Monthly
$ qnl�
Aj
and / Step
04/1
04/2-
Stipend
$oo.00 <Select Type>
$ o o. o o < S elect Type >
Pay TTe/FLSA
Exempt (SALRYE)
FTE
1.0 (4o hrs/-v�k)
WorkN,NTeek
Standard Sun -Sat
Authormng Sig -eQ
-__Sec0_0n 7 natm s
Department: Date.: 7
Human Resources: ate:
Eligiblefor Rehire - County
Board Approval RequirNot Required
Chair.
rA
Vice -Chair: Date
Yf
f
V
Member: .4 -.00
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HR Use Only: uCivic �JjGP L)kPAR [_V�ZM-T UAcctg uDept UNavi ulS uN1
Revised 05/22/2.4