HomeMy WebLinkAboutPersonnel Action Request - Human ResourcesPERSONNEL ACTION REQUEST (PAR)
Section it — Core Employee Data (All sections required to be filled out)
Empl #: 5222
T-vIer #: 1,212 --1
Legal Name: Jenks, had A
Effective Date: o8/03/2-6
1
Section 2 - Employee Data (Only required for new/separated employees & address changes)
Item
Current Data
NewlChanging Data
Name 0 Legal
0 Preferred
------------
Chad A. Jenks
Address
(000) 000-0000 ext.
Telephone
SS# - Birthdate
Section 3 - Requested Action
000-00-0000 - 00/00/00
Action(s) (up to 2)
Attendance - Leave Data
Separation Data
Re -Hire
A
A
Start Date oo/oo/oo
Stop Date o0/00/00
Type
A
Reason
I A
Eligible for Rehire - Dept A
Section 4 - Comments (for Separations, list the last d9yLjdate of pay)
Section 5 - Core Items -.Current Data
Sect -ion 6 - Core Items - Changing Data
Item
All Current Data is Required
Only Changing Data'is Required
Dept# -Dept
Prosecuting Attor-nev's Office-oollog
A A
Job# -Job Title
-Chief Deput
109-04 y Prosecuting Atty
Hire — Position
08/03/26- o8/03/26
00/00/00- 00/00/00
Grp# - Name
No7-Prosec-u4ng-AttGrne-y LA
A
Employee Type
Full Time Regular 3A
Base Wage
$15,289.44 Monthly
$
$ <Select Cycle>
Band / Step
22/4
Stipend
$oo.00 <Select Type>
$oo.00 <Select TyTe>
Pay Type/ FLSA
Exempt (SALRYE)
A
FTE
1.0 (4o hrs/wk)
A
Workweek
Standard Sun -Sat
A
Section 7 - Authorising Signatures
Department: Date,
- 7.2 zee'
Human Resources: Date: 19-
Eliaible for Rehire - County
Board Approval rA" '-j' Required Q Not Required
Chair: 7
Vice -Chair: Date:
Member:
HR use only
M NG 0 17 7 PAR M CMT F-1 LXP
Z OL R 1-9 F-I Email submitted
El -ACCTG 11 DEPT 0 IT FlNavi 0 TS ONT 0 DRS OHEQ
11 Badge 0 GP ❑ Email to Tyler
0 Email info rec'd
Updated 05-28-2026