HomeMy WebLinkAboutPersonnel Action Request - Human Resources (010)PERSONNEL ACTION REQUEST (VAR)
--------- Section 1— Core Employee Data (Current Data ..eq uired) ------
Empl#" 5892 Legal -Name: Adrian Hernandez E . ffective Date-, ol/I
------- 6/22
---- -- Section 2- — Employee Data (Required for NewHires, Separations, or if Cha!jg!ng)
Item Current Data New.data0 Legal
Name referred Adrian Hernandez <Enter>
Address <Enter>
Telephone e x. +L. - ext,
SS# - Birthdate 000-oo-0000 — 00/00/00 000-00-0000 — 00/00/00
Section 3 — Requested Action
Action(s) Leave Data Senn ritinn 7-)nfn
Wage Change - Reclassification A
A Start Date oo/oo/oo
Stop Date oo/oo/oo
Section 4 - Co menu
Reband after completion of compensation stud
SeefiOn 5 — Core Items (Current Data
Item Current Data ------
Dept #-Dept Fairgrounds -n6000 A
Job# -Job Title
1,59 -33 -Maintenance III
21
Hire — Position o6/07/21- 06/07/ 0
Type
Reason
A A
Elig 1'b lefo r Rehire A
Provide Details of SeparationBelow
?,equired)
New Data
A A
14 .1
6
%JI -1) iF —,L**4 al lle J: 05-INon-Exempt A
Employee Type Full Time Regular A
------Section 6 —.Secondary Items (Required only if Changing)
Item Current Data New D - ata
Base Wage
$25-.46 Hourly
Band /►step 8/02 -10 / am I ------------- - -----
Stipend $00.0000 elect Type> $00.0000 <Select Type>
Pay Type/ELBA Non -Exempt — Salaried (SAL E) A
FTE 1.0 (4o hrs/wk)
FTE—GrIS Only <Enter> <Enter>
Workweek Standard dun -Sat A
Section 7 — Authorizing Signatures
Department:
X/
Human Resources:
Board Approval Re iced Not R
Chair:
Vice -Chair:
Member-,
Date:
I ------------
';
Date: 02/02/22
fired
Date: Zi I S/ ZZ
Revised .10/06/202) 1