HomeMy WebLinkAboutPersonnel Action Request - BOCC (008)PERSONNEL ACTION REQUEST (PAR)
_(Curr -tti ed)
-do - :t COI�I� Euiployee Data
se( n ent Data Req r
Empl## 5822 Legal Name: Jeremy Hall Effective Date: o1/16/22
Section 2- Employe_e:Data (Required for New Hires, Separati nsorifcllaiiging
Itern Ctirrent Data New Data
Name0 Preferred Jeremy Hall <Enter>
Address
<Enter>
Telephone ext. - ext.
SS# - Birthdate oo.0-00-0000 — 00/oO/00 000-00-0000 — 00/00/00
S R.
dueste�
I.A
Action(s) Leave Data Separation Data
Wage Change - Reclassification A Type Reason
A Start Date oo/oo/oo A A
Stop Date 00/oo/oo Eligiblefor Rehire
'�
Provide Details of Se aration Below
n .
SII�Wtio,0o ts
4
Re and after completion of compensation study
o O it nt D
a Required re,, e1n. (C rlo
Item
Current Data
New Data
Dept -Dept
Technology Ser 7.ces-501000
A A
Job # -Job Title
179 -07 -Technology Sen4ces Technician
000 -00 -< Enter Title>
Hire — Position
02/05/19 - 00/00/00
00/0.0/00 - 00/00/00 --- - ------- -
Grp# -'Name
N05 -Non -Exempt
A
Employee T-vTe
Full Time Reg-ular
A
See. on n
S, do da It s -Meqyire, - on'. y 1
ry C d -fc ian 9M9
Iteni
Current Data
New Datu
Base Wage
$24.48 Hourly
Hourly
Band / Step
8/4
-$29,6o
13/1
Stipend
$oo.0000 <Select Type>
S. oo.0000 <Select T�Te>
Pay Type/FLSA
Non -Exempt — Scalaried (SAL NE
A
FTE
1.0 (4o hrs/wk)
A
FTE—GrIS Only
<Enter>
<Enter>
Workweek
Standard Sun -Sat
A
Si� 7- Auth i tt
o. zing igna. ires
Department.: Date:
Human Resources-,
qu
Board Appraval"n Refired
Chair:
Vice- hair:
Member:
I--- - ------------------- . ............. .............. ...
Date:
�
I
Date.: 7t, I. Z,
Revised 10/06/2021