HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPER ONNEL .ACTION REQUEST (PAR)
Seedon i -. Core �ployee Data (cent Data Is for A PAR Forms
. �hsed
Ernpl#: 6357
Legal Name: Gallaway, Nicholas Scott
Effective Date: 09/28/25
Section 2 -KmHoyeData (Current Data eon=
is
CurrentData
NewlChanging Data
Name 0 Le9d
Address
Telephone
(000) 000-0000 ext.
� C 000 000-0000 ext.
SS - Birthd.ate --
000-00 -0000 - oo/oo/oo
SectiOu 3 - Requested Action
Action(s) (up to 2)
Attendance - weave Data
Separation Data
'age Change - eclassincanon Type Reason
Mart. Date oo/oo/oo A
to date oo 00 00 Ell'iblefar Rehire - Dept
ern 4 — Comments k �thlast day/date y)
The PO approved this position to b full time temp,with benefits. The positions qualifies for 1
band increase under SW Laborer title as listed in the CBA, per Decorah's decision. See PMW for full
explanation. ,Ens loyee will receive wage i rease on their anniversary date and yearly after that,
eeflon 5 Core Cure Data _ Section 6 - Core Itms - gLan
Item All Curretit Data is Required n�y Changing, Data is Requi
Dept -Dept
^ Solid Waste-4o1401
A
Job# -Job Title
198- 7-SW Laborer - Project
0+ 0-0 --<Bnter Tite>
Hire — Position
04/22/25 - 05/ 7 2
o 2 - 05/27/25
Grp# - Name
Ao-Solid Waste
A
Employee Type
other - Pro ,0ect
`uR Time Temp
Base Wage
$25.40 Hourly
1$4402.67
$26.4 Hourly
5 ,6
Band step
6/1
7 1
I
Stipend.
$oo.foo <Select Type>
$oo.00 <Select Type>
Pay Type/FL A
Non -Exempt -- Hourly (HRLY)
Non -Exempt -- Salaried(SALYNE)
FE
t, o(4o hrs/wk)
Workweek
Standard Sun --Sat
^
s•
Department:AMN �
E t ate.`
Human Resources: Date: - .,
Elig iblefor ,rehire - C unty
Board Approval Required [] Not Required
Chair:
Vice --Chair: . j `r
Da t �ee E
___.______1 ... .........
MAq�
HR Use only. civic
GP
PAR[WMT
AcctR Dept Navy TS ITT
RECEIVED
OCT 16 2025 Revised 03/30i25
GRANT COUNTY COMMISSIONERS