HomeMy WebLinkAboutPersonnel Action Request - AuditorsL ACTION REQUEST (PAR)
Sermon — Core Employee Data (Current Data 'Required)
Empl*,
L.Name.or.sen RchelEffective
Date-. 01/01/22
S. eoxon 2 — Employ ee Data (Requ Ired for New Hires, Separations, or 1 . f Changing)
Item
Current'.Data
New Data
Namerater>
M Pref�-rred
<
Addres
Ent r>
Telephone
(000, 000-0000 ext
ext*
SS# - Birthdate
000-loo-000 00/00/00
.0
000 -00-0000 —,00/00/00
Section 3 — Requested Action
Action(s)
Lea v-e Data.
-----------
Separation to
a
Wage Change� - Reclassifcat on.
A
A
Start Date oo/0. 0/00
0, 0
Stop Date oo/'O/O'
-- -------
Type
A
Reason
Ell i-ble for Rehir
.9,
rie A
Povde Deta Is
t 9 gpdration. Belo tu.
-
R ebanding' from to to 13. -------------------
.Enter new bandatStep 4 - 7.9% increase, retro to ol/01/22
Section 5 — Core Item's Wqrrie�t.Data Required)
Itern
Current Data
New D*ata
Dept#-Dept
Audiior"S Offce-00ii 04 A
A
Job* -Job Title,
'104-04-PadTollAdministrator
Doo- 0 0 - -Enter Tftle>
Hire . ... o-.Po,sI4ti0n
2
02 2- /11 08/20 12
o0/00/00 �00/00/00
GIMp#-Na-me,
N014 'Exp-mpt
Epm- o gee TTe
Full Time Regular
'A
----------:8 -eotion 6 Secondary item , S Mequired only if Changing),
Item Current .Data New Data
Base Wage
$5,18.0.93 Monthly
0o..00 <Select Cycle>
Band Step
10/7
13/4 06
Stipend.
$00.0000 <Select T
------
$oof000iJ <Select Type>
Pay Type/FLSA
- -- ----
Exempt (SALRYE)
-------
A
1.0 (4o hrs/wk)
A
FTE—GrIS Only
Workweek
<Enter>
'Standard Sun-S.at
-Enter>
A
8ection 7 —Authorizing S�jgnarcs
Department,* Date:
-------------- - -
Human Resources-, Date, fk
— ---- - ----------------
Board Approval. Re T_
quired Not'Required
C•
ham:
Vice-Chai*r4 Date:
Member:
D n't ; " aA Alit 4Z /I Al I