HomeMy WebLinkAboutPersonnel Action Request - Human Resources (005)----------
YERSONNEL ACTION REQUEST (PAR)
sectio c6ie' Yee Cre
n:t - tliqol Data`(C -rr'cnt Wit! R d)
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ESI * 3314 Legal Name.- Debra Long Effective .te# 11/01/21
or
N' Ki e epard ons if Ch
Se -ton P. (Ria or.. exv r sJ:S
quire
item Current Data New Data ------
0
Name Pr. eferred Debra Long
<Enter>
Address
<Enter>
Telephone (0 00) 0oo-0000 ext. ext.
SS # - Birthdate 000-oo-'0000.— oo/oo/oo 000-00-O000 00/00/00,
Se Wn-3
_ --------- ---
Action(s) Leave Data Separati,on Data
Other (.'Pro-vq*de Comments) A Type Reason
A
Staff Date oo/oo/oo A A
A
Stop at 00/00/00 EligiVe.for- Rehlre
Provide Details oe aration Below
S
e on
coinmelot 4 -
Add Stipend option for Debra doing forensic t nriew . $50/hour
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e on C-0 Requwed)
ire meht Data.
Item. Current Data Neto Data
Dept# -Dept,
New Hope -i28000 A
A A
Job# -Job T'
We
170 -01-Legal and Community Advocate
000 -00 -<Enter Title>
Hire. — Position
o8/31/07 - 08/31/07
00/00/00
Grp # -Nam ei
Nos -No n -Exempt
A
Employee Type
Full Time Regular
A
s eM y I f C
.1 tin ng, c�oec
n,6.' Sondary items (RuIre I ' M
eq
'Item
Current Data
New Data
Base Wage
$00.00 Se es Cycle>
$00.00 <Select Cycle>
Band/ Step
Stipend
$50-0000 Other
$oo.0000 <Select Type>
Pay Type/FLSA
A
A
FTE
A
A
FTE—GrIS Only
<Enter>
<Enter>
Workweek
A
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0 W
k Audi ftiOn 7 orwng ignatures
Department,, Date:
Human Resources,-,
Date.,
Board Approvaf'M R 0AU kquiie
"Uni -,,[:]Not e
chair: v
Vice -Chair: Date,
............. .. 7'
Member -
Revised 05/25/2021