HomeMy WebLinkAboutPersonnel Action Request - Public WorksPERSONNEL ACTION REQUEST (PAR-,)
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Empl#* Legal Name: SAMUEL
'3864 22
05/04/
63-
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Item Current Data New Data
Name
1:1 Preferred <Enter>
Address
<Enter>
Telephone (0oo) 000-0000 ext. ext,
SS# - Birthdate 000-Oo-0000 — oo/oo/oo -00-0000 — 00/00/00
000
)n Data
Wage Change - Step Increase A Type Reason
Start Date oo/oo/00 A A
A Stop Date 00/00/00 Eligiblefor Rehire
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"IT
Ite7n Carrent Data New Data
Dept# -Dept A P ublic Works -101010 A A
Job# -Job Title 189-01-DIRECTOR-PUBL . ICWORKS 00 0-00-< Enter Title>
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Hire — Position 05/04/20 - 05/04/20 00/00/00 - 00/00/00
Grp# -Name NO2-Department Head
Employee Type Full Time Regular.
ew Data
Base Wage 21 ont 784.80 Monthly
$10,5 .33 MOnt 10
Band /, Step 23/6 23/7
Stipend $00,0000 <Select Type> $00.0000 <Select Type>
Pay Type/FLSA A A
Frvv A
jL ju-i
FTE—GrIS Only <Enter> <Enter>
Workweek A A
P 7',
Department:
Date,
Human Resources:
Date,
It - -- ----
Board Approval
g_Required-n Not Required
Chair:
Vice -Chair: Date -
Member,:
A
D -I Y; 0,-A Al 11 'q /') W) I
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