HomeMy WebLinkAboutPersonnel Action Request - BOCC (002)--------------
PERSONNEL ACTION REQUEST (PAR)
Section i — Core Employee Data (All sections required to be fffled out)
Empl#: 3317
Legal Name: Gonzalez -Long, Debra
Effective Date: 09/15/25
Section 2 — Employee Data (Only required for new/separated employees & address changes)
Item
Current Data
NewlChanging Data
Name 0 Ugal
0 Preferred
Address
Telephone
(000) 000-0000 ext.
(000) 000-0000 ext.
SS# - Birthdate
—
000-00-0000 — 00/00/00
Section 3 — Requested Action
Action(s) (up to 2)
Attendance - Leave Data
Separation Data
Wage Change - Reclassification
A
A
Start Date oo/oo/oo
Stop Date oo/oo/oo
Type
A
Reason
A
Eligibly' for Rehire -Dept
Section 4 — Comments (for Separations, list the last dWdateof pay)
The BOCC approved the reclassification on 09/15/2025. Annual wage increase will happen on
Anniversary date.
Section 5 — Core Items — Current Data
Section 6 — Core Items — Changing Data
Item
All Current Data is Required
Only Changing Data is Required
Dept# -Dept
New Hope-128000 A
A A
Job# -Job Title
170-27-Lead Advocate
170-32-NH Prevention & Outstation MGR
Hire — Position
08/31/07 - 03/05/25
o8/31/07 - 03/05/25
Grp # - Name
Nos -Non -Exempt
NO3-Manager-Supervisor
Employee Type
Full Time Regular
A
Base Wage
$33.74 Hourly
$
$6,962.8o Monthly
$
Band / Step
9/7
14/1
Stipend
$ <Select Type>
$00.Flap <Select Type>
Pay Type/FLSA
Non -Exempt — Salaried (SAL.YNE)
Exempt (SALRYE)
FFE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
Se ion 7 — Authorizing Signatures
Department: Date:
Human Resources: Date:
Eligiblefor Rehire - County A
Board Approval ❑ Required ❑ Not Required
Chair:
Vice -Chair: Date: 2,9.2S
Member:
N4,
RR use only[] NG [] PAR [ CMT 1-9 [] TS ❑ NT
1-1-Acctg0Dept [] TT [] Navi
Revised 07/08/25