HomeMy WebLinkAboutPersonnel Action Request - New Hope DV/SA"PERSONNEL ACTION REQUEST (PAR)
Section.1 — Core Employee Data (Current Data Required)
Empl#,,
z yee ------------- I --------------
Legal Name: Barriento, A Effective Date- 04/01/22
Sen 2 — E M-Ploye'e Data_ (Required. for New.Hkes, SeparationsA car iMbanging)
Item
-------------Oirrent Data
New .Data
Name 0tarrientoz
ID Preferred
Alyce,
<Enter>
Address
<Enter>
Telephone
(000) 000-000 ext,
ext.
SS # - Birthdate
000-00 00,00 010/00/00
000-00-0000 — 0 0 00 00
ScctiOn 3 .#.s, Ammon
Action6s)
Leave Data
Sep aration.Data ---------------
Wage Change -Adjustment
A
Type
Reason
Start Date 0 0/ 0 1 01/oo
A
A
Stop Date oo/oo/oo
z "Wfo P h A
Elio . r ovre
.. ... .
It .
PPOWde Details 6fS- 'ration, Below
�pd
Secdon Comments
HR and BOCCe o adj' sgent
appr vU
----------------- 8�On 5 — Core Items (Current Data Required)
.Item
Current Data
New. Data
Dept# Dept
�e`� Hope.128000 A ip%�op
Poo A
A
Job #' -Job Title
------------
170-14 s sant
-Accounting As is' t
000 -0 0 -.<Enter it e>
Hire — Position
o7/0/2t -07/06/21
.............. I ..... ...
00/00/00
Grp-�N
'- #a'me
Yl 01,,
A
EMDlovee,-TY_Pe
t- r P,2,i i
Se6d,6ii 6 — S ' Ite -
- ------------ pec ary ms (Required only if Chan ging)
Item
Current Data
New Da
,Base Wage
$23.83 Ho .rl
2-5.8 Hourl
9 Y
Banff. Step
08/02
o8/05
Stipend
$00.00-0o;<Select Type>
$ <Select Type
Pay Type/FLSA
Non -Exempt — Salaried (SALYNE)�o�-Ee
em P t — Salaried (SALYNE)
FTE
1.0 (4o hr*s/wk)
0 (4o hrs/wk)
FTE—GrIS. Only <Enter> <Enter>
Workweek 'Standard. Sun -Sat Standark .Sun Sat
Section 7 — Authoruing ign
S Atures
Department:7Date: '
. .. ......... .. .
HumesnResources: Date -
Board Approvatp Required [I Not Rerre&
U
Chair.,
Vice -Chair: Date.
Member:
Revised 05/25/2021