HomeMy WebLinkAboutPersonnel Action Request - Human Resources (002)PERSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Data (Current Data is Required for all PAR Forms)
Empl#-* 6429
Legal Name: Mercer, Michelle
Effective Date:
I - ,
Section 2 — Employee Data (Current Data column
is Required for all PARS)
Item
Current Data
NewlChanging Data
Name I
0 Preferred
Michelle Mercer
Address
(000) 000-0000 ext.
-Telephone
SS# - Birthdate
000-00-0000 — 00/00/00
Section 3 — Requested Action
Action(s) (up to 2)
Attendance - Leave Data
Separation Data
New Hire
A
A
Start Date oo/oo/00
Stop Date oo/oo/oo
Type
A
Reason
A
Eligiblefor Rehire - Dept A
Section 4 — Comments (for Separations, list the last day/date of pay)
Front load 80 hours of annual leave to be used x�fthin the probationary period, accrual of annual
leave at 22 dayrs per year. Band 18 Step 7.
f -
Section 5 — Core Items — Current Data
Section 6 — Core Items — Chang Data
Item
All Current Data is Required
Only Changing Data is Required
Dept# -Dept
Dev Services-Planning-oolli.1 A
A A
Job# -Job Title
ill- -Planning Manager
.�7
000-00-<Enter Title>
Hire — Position.
A
00/00/0000/00/0051,6
Grp# - Name
NO3-Manager-Supervisor
A
Employee Type
Full Time Regular
A
Base Wage
$9,805.47 Monthly
$o0.00 <Select Cycle>
Band / Step
18/7
Stipend
$oo.0o <Select Type>
$oo.00 <Select Type>
Pay T�Te/FLSA_
Exempt (SALRYE)
A
FTE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
Section 7 --/Author riiA*ng.Signatures
Department: Date: 1b. l .,
Human Resources: Date:
Eligiblefor Rehire - County A
Board Approval P,'Required ❑Not Required
Chair:
Vice -Chair: Date: lei,
Member: ia
HR Use Only: U Civic YJ GP W PAR MtMT
L,"AcctgDept JANavi .—LhLT
ED
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0 C T 16 2025 Weld
Revised 03/30/25
GRANT COUNTY COMMISSIONERS